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Montana 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
$21.22 / $22.07 / $28.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.58 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $24.95 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $24.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $24.95 / $35.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $23.94 / $31.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $22.28 / $23.66