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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
$32.36 / $91.20 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $50.12 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
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 / $35.48
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $34.67