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New York 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
$19.43 / $22.07 / $34.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $22.07 / $30.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $22.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $19.87 / $19.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.12 / $16.12 / $16.12
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $16.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $19.14 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $33.46 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.78 / $20.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $19.14 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.82 / $21.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.66 / $29.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $20.46 / $20.46
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $12.39 / $22.07