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Texas 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
$13.24 / $13.79 / $16.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $13.24 / $15.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $36.13 / $79.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $11.29 / $11.29
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $10.91 / $10.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $10.93 / $16.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.39 / $11.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $10.91 / $18.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.91 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.63 / $11.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $9.84 / $14.89