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Iowa rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $36.54 / $36.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $35.58 / $61.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $30.51 / $37.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $21.75 / $50.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $41.14 / $53.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $36.08 / $47.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $41.88 / $58.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $41.88 / $54.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $35.56 / $37.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58