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Indiana rates for HCPCS 90658

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

Facilitymedian $33 · 10th–90th $22–$520%20%10th90th$33Professionalmedian $22 · 10th–90th $20–$350%50%10th90th$22$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $131.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $26.92