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Wisconsin rates for HCPCS 90713

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

Facilitymedian $115 · 10th–90th $51$2820%20%10th90th$115Professionalmedian $55 · 10th–90th $46$1480%20%10th90th$55$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $147.91 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $57.54 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $47.86 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $47.86 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $83.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $162.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $75.86