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Wyoming rates for HCPCS 90647

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $31.42 / $32.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $37.61 / $37.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $35.56 / $37.76