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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
$31.62 / $32.36 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $38.02