go back

North Dakota 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
$30.65 / $32.35 / $43.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $32.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $33.95 / $34.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $29.92 / $37.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $36.54 / $94.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $33.64 / $36.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $34.61 / $37.61