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New Hampshire 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
$18.09 / $24.72 / $32.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $39.72 / $100.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $19.87 / $22.07
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $35.84 / $68.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $22.68 / $23.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $18.77 / $28.79