Inactivated polio vaccine injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Vaccine Polio (Ipv) Subcutaneous/Im

Payers reporting CPT 90713

Payer pricing summary

Low

Average

$206

Median

$124

High

$1.2k

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +18 other terms	25	$45	$45	$5	11%	2–20	$43 – $75
2	Tricare professional · fee schedule · outpatient · +17 other terms	22	$46	$46	$1	3%	2–20	$42 – $49
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	492	$94	$106	$144	136%	—	$0 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	276	$78	$119	$243	205%	—	$0 – $3.1k
5	Cigna fee schedule · outpatient · +27 other terms	272	$77	$132	$87	66%	—	$0 – $752
6	Humana fee schedule · outpatient · +24 other terms	186	$45	$190	$709	373%	—	$1 – $8.3k
7	Aetna fee schedule · outpatient · +30 other terms	139	$54	$175	$690	395%	—	$0 – $8.4k
8	Anthem fee schedule · outpatient · +25 other terms	98	$57	$67	$47	71%	—	$34 – $567
9	MultiPlan fee schedule · outpatient · +19 other terms	60	$136	$359	$601	167%	—	$15 – $2.0k
10	Medica fee schedule · outpatient · +17 other terms	43	$86	$217	$430	198%	—	$23 – $2.0k
11	Molina facility · case rate · outpatient · +29 other terms	37	$20	$17	$8	45%	—	$6 – $36
12	Caresource fee schedule · outpatient · +17 other terms	31	$45	$48	$11	23%	—	$1 – $90
13	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	30	$12	$18	$16	91%	—	$10 – $94
14	Highmark facility · fee schedule · outpatient · +19 other terms	27	$12	$30	$18	61%	—	$9 – $75
15	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$1.2k	$1.1k	$173	16%	—	$851 – $1.3k
16	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$140	$136	$38	28%	—	$37 – $216
17	Regence facility · fee schedule · both · +17 other terms	23	$45	$55	$31	57%	—	$16 – $155
18	Kaiser fee schedule · outpatient · +21 other terms	22	$80	$91	$66	72%	—	$26 – $305
19	Premera facility · fee schedule · both · +12 other terms	22	$45	$55	$31	57%	—	$14 – $155
20	Carefirst facility · fee schedule · both · +13 other terms	21	$45	$56	$30	54%	—	$42 – $155
21	Excellus facility · fee schedule · both · +14 other terms	21	$45	$54	$27	50%	—	$42 – $155
22	Aetna Better Health fee schedule · outpatient · +15 other terms	19	$47	$39	$10	24%	—	$26 – $48
23	First Health fee schedule · outpatient · +19 other terms	19	$118	$150	$184	123%	—	$0 – $960
24	Medicaid fee schedule · both · +17 other terms	18	$32	$38	$26	69%	—	$16 – $81
25	Bcbs La fee schedule · outpatient · +1 other terms	15	$48	$47	$3	6%	—	$42 – $51

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