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Oklahoma rates for HCPCS 90670

Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.62 / $278.63 / $713.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.62 / $278.63 / $283.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.85 / $253.60 / $253.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.33 / $262.54 / $398.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.09 / $283.79 / $309.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.09 / $271.57 / $309.58