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Tennessee 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
$22.07 / $31.76 / $44.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $25.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $22.28 / $23.98