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South Carolina rates for HCPCS 90647

Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use

Facilitymedian $44 · 10th–90th $32–$950%20%10th90th$44Professionalmedian $32 · 10th–90th $29–$540%20%40%10th90th$32$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $43.65 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $40.74