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Maine rates for HCPCS 90658

Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $31.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.36 / $26.81 / $69.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $19.87 / $21.85
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $25.54 / $39.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $32.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $19.72 / $28.59