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Kansas 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 / $25.12 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.88 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.92 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $21.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.05 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $23.99