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Louisiana 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 / $11.03 / $11.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $13.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $16.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $11.14 / $11.83