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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
$22.39 / $30.20 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.88 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $36.31 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $25.12 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $19.95 / $42.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.22 / $16.60