go back

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
$14.13 / $40.74 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.85 / $17.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $40.74 / $316.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.49 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.80 / $23.44