go back

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
$25.12 / $32.36 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $46.77
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $27.54 / $32.36