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Maine 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 / $41.18 / $316.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $15.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.72 / $40.72 / $40.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $13.43 / $13.43
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $15.39 / $23.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $41.18 / $316.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $16.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $23.26