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Nebraska 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
$21.88 / $22.39 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.18 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.12 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.39 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $72.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.88 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $21.88 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.88 / $23.99