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New York 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
$30.73 / $32.35 / $101.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.35 / $53.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $31.19 / $31.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.05 / $28.05 / $30.86
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.05 / $28.05 / $28.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.44 / $32.38 / $132.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $33.86 / $69.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.04 / $33.04 / $33.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $33.04 / $35.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $36.54 / $36.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.38 / $32.38 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $37.61 / $48.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.91 / $33.04 / $33.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $23.91 / $35.74