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Illinois rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $47.64 / $174.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $52.40 / $82.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $157.27 / $603.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $54.07 / $54.07
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.44 / $32.56 / $86.12
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $24.15 / $26.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $33.56 / $44.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $53.53 / $53.68