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New York rates for HCPCS 90658

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

Facilitymedian $22 · 10th–90th $17$760%50%10th90th$22Professionalmedian $22 · 10th–90th $20$390%50%10th90th$22$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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 / $21.88 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.88 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $104.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $25.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $21.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $46.77
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $12.30 / $20.42
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $21.88