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Washington rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.42 / $79.25 / $138.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $53.60 / $147.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.18 / $53.53 / $191.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $48.18 / $56.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $143.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $41.89 / $104.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $48.23 / $48.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $53.53 / $53.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $50.85 / $56.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.18 / $48.18 / $48.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $48.18 / $48.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $50.54 / $53.68