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Utah rates for HCPCS 90658

Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.07 / $29.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $19.05 / $22.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $22.28 / $23.66