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Oklahoma rates for HCPCS 90620

Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.08 / $261.08 / $924.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.07 / $261.08 / $265.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.75 / $270.18 / $1,006.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $279.81 / $284.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $279.81 / $284.56