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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
$26.94 / $26.94 / $26.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.94 / $29.35 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $32.29 / $35.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $31.45 / $35.22