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Indiana rates for HCPCS 90657

Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.31 / $26.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $12.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $22.06 / $29.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.93 / $14.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $16.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $13.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $10.91 / $29.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.75 / $11.83