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Oklahoma rates for HCPCS 91304

Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.01 / $160.74 / $176.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $191.92 / $211.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.87 / $248.80 / $314.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.53 / $191.92 / $585.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.46 / $177.69 / $193.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.93 / $198.65 / $202.02