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Arizona rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.20 / $52.40 / $94.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $52.78 / $158.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $159.19 / $252.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $42.82 / $283.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.68 / $50.85 / $68.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $53.53 / $53.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $53.53 / $53.68