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Wisconsin 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 / $33.11 / $44.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $22.07 / $32.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $47.45 / $49.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $19.87 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.31 / $46.13 / $46.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $53.07 / $75.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $24.30 / $27.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $21.86 / $22.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $44.14 / $44.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $21.86 / $22.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.23 / $44.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $53.34 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $21.86 / $22.14
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $44.14 / $44.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $36.72 / $74.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $30.99 / $30.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $22.28 / $32.34