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Kansas 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
$31.42 / $37.70 / $40.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $34.94 / $40.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.88 / $40.01 / $41.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $36.54 / $36.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $35.25 / $35.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $35.50 / $46.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $36.08 / $36.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $37.13 / $42.35