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Louisiana 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 / $15.85 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.88 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.60 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $16.60