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Oklahoma rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $51.45 / $51.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $52.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.48 / $50.10 / $50.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.03 / $51.45 / $191.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $52.78 / $53.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $52.78 / $53.68