go back

Nebraska rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $45.39 / $132.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $35.50 / $60.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $25.09 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $24.84 / $25.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $35.25 / $37.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $35.50 / $133.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $33.64 / $36.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $41.88 / $46.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $41.88 / $55.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $35.56 / $37.61