go back

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
$10.96 / $10.96 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $14.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $18.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.96 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $12.02