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New Hampshire rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $79.80 / $79.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $47.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.47 / $67.09 / $184.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $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
$61.75 / $75.76 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $53.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.30 / $69.48