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Kansas rates for HCPCS 90657

Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.75 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.49 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $10.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.96 / $16.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.75 / $12.02