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Alaska rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $26.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $70.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $50.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $38.90 / $38.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $47.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $23.99