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Oklahoma rates for HCPCS 90671

Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.04 / $282.04 / $282.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.04 / $282.04 / $287.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $282.04 / $1,000.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.74 / $270.45 / $275.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.59 / $283.93 / $288.74