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Wisconsin rates for HCPCS 90666

Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $39.81