go back

Oklahoma 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 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.96 / $10.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $10.96 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.48 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.75 / $12.02