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West 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
$20.68 / $20.68 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $22.07 / $24.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $33.11 / $33.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $51.16 / $51.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $36.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.98 / $25.18