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Washington rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.35 / $32.35 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $32.35 / $53.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $36.54 / $133.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $38.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $117.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $28.96 / $72.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $48.23 / $48.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $36.54 / $36.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $34.71 / $38.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $35.56 / $37.76