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Kentucky 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 / $12.02 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.31 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $17.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.48 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $52.48 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $11.75