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Minnesota rates for HCPCS 90647

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

Facilitymedian $62 · 10th–90th $31–$1000%20%10th90th$62Professionalmedian $32 · 10th–90th $28–$480%20%40%10th90th$32$1.0$5.0$20.0$100.0$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 / $32.36 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $61.66 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $100.00 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $38.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $112.20
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.88 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $34.67 / $53.70