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Massachusetts 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 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $27.54 / $36.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $56.23 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.33 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.96 / $18.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $27.54 / $36.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $15.14