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Oklahoma rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,512.48 / $2,512.48 / $2,512.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.48 / $2,512.48 / $2,512.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.80 / $2,512.48 / $3,592.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.71 / $2,736.91 / $2,819.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.71 / $2,703.91 / $2,819.02