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Missouri 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 / $20.42 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.49 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.59 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $22.39 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $39.81 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.85 / $16.60