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New York 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 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $10.96 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $52.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.59 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $19.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $6.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.23 / $10.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.47 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.48 / $15.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.17 / $10.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.23 / $10.96