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New Hampshire 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 / $15.85 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $27.54 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.80 / $15.85
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 / $22.91 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.80 / $16.60