go back

Missouri 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
$18.30 / $22.07 / $25.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $22.07 / $26.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $23.61 / $79.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $23.01 / $23.01
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $27.65 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.23 / $23.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.50 / $23.98