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West Virginia 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
$15.04 / $22.56 / $44.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $32.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $19.57 / $28.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.96 / $43.96 / $43.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $163.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $30.23 / $108.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $18.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $15.79 / $16.97