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Maine rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $47.64 / $878.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $52.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.30 / $138.30 / $138.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $45.62 / $45.62
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $52.64 / $80.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $132.86 / $878.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $68.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.73 / $64.86