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Virginia rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $47.64 / $262.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $74.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $45.62 / $45.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $50.10 / $50.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $35.18 / $53.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.71 / $53.53 / $72.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.94 / $50.85 / $65.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $50.85 / $65.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $53.53 / $53.68