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Connecticut 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
$32.35 / $32.35 / $92.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $32.35 / $32.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.95 / $52.71 / $97.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.19 / $31.19
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $37.61 / $37.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $31.47 / $34.61