go back

Utah rates for HCPCS 90713

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $51.29 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $57.54