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Michigan rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Facilitymedian $22 · 10th–90th $22–$650%50%90th$22Professionalmedian $22 · 10th–90th $19–$420%50%10th90th$22$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $43.65 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $23.44 / $64.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $38.90
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $25.12