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Missouri rates for HCPCS 90713

Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $66.69 / $83.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $47.64 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.76 / $76.04 / $117.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.02 / $51.02 / $51.02
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $53.53 / $191.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $53.53 / $54.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $52.78 / $54.10