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Massachusetts 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
$24.55 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $47.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $89.13 / $109.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $31.62 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $31.62 / $57.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $89.13 / $109.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $31.62 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $36.31 / $46.77