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Colorado 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
$31.42 / $156.86 / $170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $32.35 / $53.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.28 / $56.96 / $101.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $37.61 / $37.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $32.35 / $46.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $37.13 / $37.76