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Indiana rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $102.34 / $156.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $47.64 / $75.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.97 / $89.46 / $134.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $45.62 / $62.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.77 / $21.77 / $28.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $21.77 / $27.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $50.10 / $131.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $48.76 / $53.68