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Arizona rates for HCPCS 90648

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

Facilitymedian $38 · 10th–90th $15–$910%10%10th90th$38Professionalmedian $21 · 10th–90th $14–$650%20%10th90th$21$10.0$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
$22.39 / $30.20 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $48.98 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.12 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $42.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $16.22