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Nebraska rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.09 / $48.71 / $69.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $47.64 / $66.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $31.85 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.26 / $31.53 / $31.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $50.10 / $53.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.64 / $48.62 / $191.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $49.20 / $53.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $44.33 / $52.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $44.33 / $55.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $50.54 / $53.53