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Oklahoma rates for HCPCS 90644

Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $29.51 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $32.36 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $35.48