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California 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
$11.22 / $32.36 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.62 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.60 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.60 / $40.74
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $14.79 / $18.62
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $19.50 / $41.69
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $51.29 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $28.18 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $25.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.22 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.22 / $33.11