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Tennessee 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
$11.03 / $11.03 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $12.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.14 / $11.63