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Alabama rates for HCPCS 90647

Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $44.67 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $35.48 / $38.02