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Massachusetts 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
$17.30 / $17.98 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $32.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $55.26 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $22.68 / $27.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $27.10 / $60.03
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.26 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $18.67 / $37.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $22.07 / $45.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $27.65 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.98 / $29.58
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $16.57 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.98 / $29.58