go back

Texas 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
$24.58 / $28.16 / $37.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $26.48 / $29.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $38.32 / $78.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $22.58 / $22.58
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $19.19 / $49.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $21.86 / $25.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $21.82 / $21.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $21.86 / $33.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $20.79 / $22.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $21.82 / $37.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $21.82 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $23.27 / $23.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $19.69 / $29.79