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Oklahoma rates for HCPCS 90677

Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.89 / $330.25 / $480.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.93 / $337.93 / $428.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.36 / $337.93 / $483.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $324.02 / $334.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $324.02 / $334.54