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Idaho rates for HCPCS 90658

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $19.05 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $27.54 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
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 / $27.54 / $27.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $23.99