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Georgia 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
$20.96 / $85.54 / $165.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $45.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.18 / $36.68 / $39.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $31.19 / $31.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.34 / $32.92 / $64.19
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $25.67 / $32.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $37.61 / $43.61