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Kentucky 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
$32.36 / $32.36 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $32.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $21.38 / $33.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $21.38 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $38.02