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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
$5.37 / $5.37 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $23.99