go back

New Hampshire 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 / $67.22 / $67.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $32.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $47.21 / $129.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.19 / $31.97
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 / $35.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.40 / $53.25 / $98.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $35.56 / $37.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.48 / $33.26 / $50.24