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Utah rates for HCPCS 90648

Hib Prp-T Vaccine 4 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.89 / $15.28 / $34.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $19.61 / $21.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $15.02 / $15.95