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Oklahoma rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.24 / $228.24 / $228.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.24 / $228.24 / $232.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.19 / $236.20 / $855.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $244.64 / $248.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.24 / $410.24 / $410.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $244.64 / $248.78