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Maryland rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $49.77 / $50.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $31.42 / $61.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $36.54 / $37.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $33.86 / $38.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $37.61 / $37.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $29.83 / $29.83