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Kentucky 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 / $21.88 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $21.88 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $18.62 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $33.11 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $23.99