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Wyoming 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 / $22.07 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $26.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $23.23 / $23.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $23.66 / $23.98