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Wisconsin rates for HCPCS 90673

Riv3 Vaccine Preservative Free For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $147.24 / $196.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $98.16 / $132.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.60 / $211.04 / $218.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.95 / $87.95 / $131.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.06 / $205.15 / $205.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $202.74 / $289.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $87.64 / $106.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $83.49 / $215.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.32 / $196.32 / $196.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $83.49 / $183.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.20 / $103.33 / $196.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $85.00 / $203.72
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $83.49 / $215.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.32 / $196.32 / $196.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $139.32 / $283.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.84 / $131.84 / $131.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $137.82 / $137.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $83.49 / $83.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $109.94 / $170.80