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Oregon 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
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $60.26 / $64.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $46.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $32.36 / $53.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $47.86 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $42.66 / $91.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.02 / $38.02