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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
$14.05 / $28.92 / $157.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $69.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $26.34 / $43.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $30.00 / $40.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $20.28 / $26.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.28 / $20.28 / $22.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $14.75 / $37.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $13.83 / $13.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $15.02 / $15.95