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New York rates for HCPCS 90667

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $30.00 / $85.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306,496.94 / $306,496.94 / $306,496.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.46 / $255.16 / $301.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $52.00