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Minnesota 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
$32.35 / $32.35 / $77.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $34.94 / $53.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $36.01 / $68.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $31.06 / $31.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $94.36 / $114.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $35.63 / $37.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.30 / $86.11 / $108.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $29.63 / $41.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $41.14 / $101.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $33.64 / $40.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.61 / $41.79