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Indiana 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
$22.07 / $22.62 / $52.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $28.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.86 / $44.14 / $58.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $19.87 / $28.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $26.30 / $40.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $25.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $21.82 / $59.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $22.28 / $23.98