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Nebraska 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 / $15.65 / $88.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $20.37 / $62.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $26.50 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $26.23 / $26.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $14.75 / $15.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $26.70 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $14.62 / $15.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $39.39 / $46.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $39.89 / $52.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $14.62 / $15.79