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Arkansas rates for HCPCS 90647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $32.35 / $47.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $38.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $31.47 / $37.61