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Florida 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 / $32.35 / $82.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $32.35 / $51.21
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $31.98 / $31.98
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $31.47 / $39.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $30.30 / $30.30