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Virginia 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
$21.88 / $21.88 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $21.88 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $43.65 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.88 / $37.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $21.88 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $26.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $21.88 / $33.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $22.39 / $33.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $22.39 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $25.70