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New York rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.03 / $71.84 / $265.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.39 / $47.64 / $103.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $45.62 / $45.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.56 / $43.84 / $161.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.18 / $48.18 / $98.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $48.18 / $48.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.97 / $46.97 / $46.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $46.97 / $50.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.50 / $53.53 / $87.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.84 / $43.84 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $50.54 / $65.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.94 / $46.97 / $46.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $27.99 / $50.85