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Connecticut rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $90.61 / $136.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $47.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.73 / $70.93 / $138.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $45.62 / $45.62
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.18 / $48.18 / $48.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $53.53 / $53.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $49.25