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Nebraska 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
$83.49 / $83.49 / $170.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.62 / $85.00 / $112.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.46 / $111.13 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $105.56 / $111.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $96.58 / $106.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.62 / $77.33 / $186.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.09 / $103.33 / $115.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.21 / $95.18 / $100.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.21 / $85.29 / $100.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $107.98 / $115.83