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Louisiana rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $47.64 / $87.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $52.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $50.85 / $76.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.85 / $50.85 / $51.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $35.60 / $35.60
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $50.54 / $53.68