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North Dakota 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
$11.03 / $11.03 / $11.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $13.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $10.51 / $10.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.14 / $13.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $11.03 / $18.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.85 / $11.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.85 / $11.48