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Virginia 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
$26.30 / $32.36 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $32.36 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $35.48 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $35.48 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $38.02 / $48.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $35.48 / $53.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $35.48 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.02 / $39.81