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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
$22.07 / $23.17 / $42.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $22.07 / $31.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $46.57 / $75.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $21.82 / $21.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $23.98 / $26.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $22.07 / $33.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $21.86 / $30.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $21.86 / $30.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.66 / $23.98