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Alaska rates for HCPCS 90648

Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.34 / $26.34 / $140.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $21.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $30.14 / $30.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $28.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $20.23 / $31.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $28.92 / $47.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.52 / $15.79