go back

Idaho rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $51.66 / $81.13
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.49 / $47.64 / $68.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.79 / $44.73 / $49.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $60.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $53.68 / $62.62