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Virginia rates for HCPCS 90647

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

Facilitymedian $32 · 10th–90th $26–$550%20%40%10th90th$32Professionalmedian $32 · 10th–90th $29–$450%50%10th90th$32$10.0$20.0$50.0$100.0

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
$26.30 / $32.36 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $69.18 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.02 / $48.98
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $53.70
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $39.81