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Missouri 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 / $45.33 / $56.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $32.35 / $51.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.41 / $42.48 / $82.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $36.54 / $36.54
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $41.51 / $133.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $36.54 / $36.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $36.86 / $38.06