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North Carolina 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
$9.33 / $12.02 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $18.20 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
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 / $11.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.20 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $12.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00