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Virginia 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 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $21.88 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.96 / $18.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.98 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $10.96 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.96 / $13.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.96 / $16.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $11.22 / $16.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.22 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $12.88