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Alaska rates for HCPCS 90713

Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $30.06 / $30.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $47.64 / $52.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $34.39 / $34.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $44.73 / $44.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.94 / $74.94 / $117.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $24.05 / $75.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $71.43 / $168.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $29.93 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $53.53