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Oklahoma rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.76 / $177.76 / $177.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.75 / $177.76 / $181.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.57 / $129.69 / $187.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.01 / $186.65 / $675.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.87 / $184.91 / $188.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $184.91 / $187.09