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Tennessee 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 / $21.69 / $120.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $19.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $100.00 / $100.00
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 / $13.29 / $15.95