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Maine rates for HCPCS 90644

Hib-Mency Vacc 4 Dose Sched 6 Wks-18 Months Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $28.87 / $44.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $29.35 / $44.03