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Louisiana 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
Facility
Modifier
Low / Median / High Price
$39.81 / $61.66 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $117.49