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Tennessee rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $44.67 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $47.86 / $57.54