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Iowa 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
$21.88 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $27.54 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $22.91 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.44 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $22.91 / $23.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88