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Arkansas 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
$14.05 / $21.69 / $32.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $22.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $14.75 / $14.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $13.83 / $13.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $13.29 / $15.79