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Oklahoma rates for HCPCS 90733

Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.54 / $135.54 / $135.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.54 / $135.54 / $138.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.27 / $137.94 / $137.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $147.65 / $532.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $162.41 / $177.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $158.22 / $177.18