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Utah rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Facilitymedian $22 · 10th–90th $22–$320%50%90th$22Professionalmedian $22 · 10th–90th $19–$220%50%10th$22$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $31.62 / $31.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $23.99