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Oklahoma rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $33.21 / $33.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $33.21 / $33.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $34.86 / $144.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $26.71 / $29.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $26.71 / $29.14