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New Hampshire rates for HCPCS 90657

Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $12.35 / $16.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $11.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.15 / $19.85 / $50.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $9.93 / $11.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $17.93 / $34.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $9.86 / $11.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.68 / $9.65