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Ohio rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.91 / $65.80 / $113.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $50.00 / $147.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.09 / $104.67 / $290.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $45.62 / $78.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.51 / $21.51 / $34.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $21.51 / $29.04
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 / $75.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $15.48 / $91.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $75.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $51.44 / $58.91