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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
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $147.91 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $154.88 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $177.83