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Montana rates for HCPCS 90657

Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $13.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $12.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $35.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $11.97 / $15.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.14 / $11.83