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Arizona rates for HCPCS 90611

Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.01 / $178.65 / $302.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $302.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $699.57 / $1,409.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $259.20 / $1,717.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.39 / $302.39 / $302.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $302.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.39 / $324.00 / $393.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.49 / $296.81 / $324.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.49 / $296.81 / $324.00