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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
$14.13 / $20.42 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $23.44 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $15.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $26.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.45 / $15.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $26.30 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.14 / $16.60