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Oklahoma rates for HCPCS 90734

Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.55 / $183.55 / $183.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.55 / $183.55 / $186.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.76 / $186.76 / $186.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.98 / $186.76 / $186.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.35 / $192.73 / $707.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $196.77 / $200.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $196.77 / $200.10