go back

New Jersey rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $47.64 / $66.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $47.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $52.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.46 / $50.10 / $53.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $50.10 / $50.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.77 / $48.18 / $48.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $54.81