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Nebraska rates for HCPCS 90658

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

Facilitymedian $25 · 10th–90th $22–$1910%10%10th90th$25Professionalmedian $28 · 10th–90th $19–$390%20%10th90th$28$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 / $22.39 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $72.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $21.88 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.88 / $23.99