go back

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
$20.89 / $91.20 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $36.31 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $31.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $25.70 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $70.79 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.02 / $54.95