| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $29.75 | $29.75 | $35.00 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $29.75 | $29.75 | $35.00 |