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Maine rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $35.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.30 / $97.30 / $97.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.19 / $31.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $37.00 / $56.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $37.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $33.10 / $55.07