go back

Louisiana 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
$22.07 / $22.07 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $26.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $22.07 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.51
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $22.28 / $23.98