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New Jersey rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $32.35 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $32.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $29.23 / $29.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $35.25 / $38.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $35.25 / $35.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.71 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $32.89 / $32.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $34.61 / $38.56