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Utah 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $102.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $117.49