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Mississippi rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $67.72 / $153.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $47.64 / $54.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $49.70 / $53.53