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Michigan rates for HCPCS 90647

Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use

Facilitymedian $47 · 10th–90th $32–$890%20%10th90th$47Professionalmedian $32 · 10th–90th $29–$600%20%10th90th$32$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $66.07 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $107.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $60.26
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $38.90