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Idaho rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.88 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $48.98 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.29 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $64.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.90 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $54.95 / $67.61