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Maine rates for HCPCS 90662

Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.30 / $98.15 / $528.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $98.15 / $141.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $119.23 / $311.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.95 / $87.95 / $96.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $113.57 / $174.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.30 / $99.53 / $371.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $98.15 / $141.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $86.23 / $125.03