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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
$10.93 / $10.93 / $15.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $11.03 / $18.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $12.49 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.25 / $12.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $11.14 / $13.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $10.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.14 / $11.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $18.32 / $28.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $16.39 / $32.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.85 / $11.63