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Tennessee rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $55.74 / $306.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $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
$50.10 / $50.10 / $50.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $107.06 / $191.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $50.54 / $53.53