go back

Indiana 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
$14.13 / $28.84 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.95 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $30.20 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.89 / $36.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $22.91
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 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $16.60