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Alaska rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.71 / $20.71 / $20.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $32.35 / $35.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $23.08 / $23.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $31.47 / $31.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.16 / $51.16 / $80.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $49.70 / $117.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $20.95 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $31.47 / $37.61