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Ohio 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
$8.13 / $37.15 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $40.74 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $22.91 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $29.51 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $36.31 / $40.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $46.77
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.55 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $24.55