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Oklahoma rates for HCPCS 90648

Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.59 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $26.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.49 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.85 / $16.60