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Texas rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.40 / $89.35 / $186.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $53.53 / $69.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.71 / $80.26 / $158.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $37.04 / $37.04
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $32.78 / $145.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $21.66 / $21.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $35.60 / $35.60
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
$85.00 / $107.06 / $191.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $53.53 / $76.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $22.31 / $96.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.40 / $50.10 / $76.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $50.10 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $52.78 / $53.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.49 / $43.49 / $58.71