go back

Mississippi rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $32.35 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $32.35 / $50.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.05 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $23.60 / $26.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $34.96 / $37.61