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Idaho 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
$16.60 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.22 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $30.20 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.20 / $95.50
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.60 / $38.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.79 / $42.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.22 / $19.50