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Mississippi 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
$22.91 / $32.36 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $34.67 / $38.02