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North Carolina 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
$29.66 / $56.04 / $91.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $32.35 / $53.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $28.85 / $33.64
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 / $37.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.66 / $31.44 / $40.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $27.17 / $27.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $36.19 / $37.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $100.00 / $100.00