go back

Wisconsin rates for HCPCS 90647

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

Facilitymedian $59 · 10th–90th $32$1290%20%10th90th$59Professionalmedian $47 · 10th–90th $32$910%20%10th90th$47$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
$32.36 / $77.62 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $52.48
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $40.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $524.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $83.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $85.11 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $53.70