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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
$16.71 / $16.71 / $39.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $16.30 / $63.75
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.89 / $28.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $25.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $17.53 / $17.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.95 / $18.61