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Hawaii rates for HCPCS 90647

Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $32.35 / $47.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $37.61 / $47.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.09 / $27.75 / $32.11