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Utah rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $50.94 / $167.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $47.64 / $77.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $50.54 / $53.68