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Illinois rates for HCPCS 90658

Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $22.07 / $31.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.07 / $29.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.53 / $61.77 / $130.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $22.77 / $22.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $33.11 / $52.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $22.95 / $22.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.27 / $24.20