| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 |