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West Virginia rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $65.80 / $70.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $79.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $21.02 / $30.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $47.18 / $47.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $73.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.44 / $56.44 / $112.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $60.38 / $61.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $53.53 / $57.11