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Arizona 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
$15.45 / $23.30 / $39.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $17.98 / $65.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $46.55 / $73.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.52 / $82.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $20.09 / $42.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.79 / $15.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $13.83 / $13.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.79 / $15.95