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Arkansas rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $47.64 / $67.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $54.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.73 / $44.73 / $44.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $44.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $44.73 / $53.53