go back

Idaho rates for HCPCS 90673

Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $45.71 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $123.03 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $97.72 / $123.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $117.49