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Nebraska 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 / $18.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $12.59 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.02 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.22 / $14.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $10.23 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.22 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.96 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $11.75