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Michigan 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 / $14.05 / $32.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $16.30 / $42.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $28.79 / $54.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $12.51 / $13.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $14.75 / $21.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.77 / $14.09 / $31.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $14.49 / $38.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $20.13 / $20.13
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 / $15.79 / $16.48