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Massachusetts rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $57.87 / $99.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $47.64 / $60.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.37 / $126.51 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $44.73 / $55.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.44 / $68.30 / $145.60
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.04 / $40.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.68 / $45.50 / $96.46
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.88 / $37.88 / $175.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $50.85 / $107.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $51.44 / $67.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $51.44 / $62.62