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Texas rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $50.03 / $118.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $37.61 / $45.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.32 / $74.20 / $148.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.78 / $35.78 / $35.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $23.27 / $37.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $24.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $35.25 / $35.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $100.00 / $133.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.57 / $36.54 / $53.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $22.31 / $22.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.03 / $35.25 / $53.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $35.25 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $37.13 / $37.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $30.30 / $40.90