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Minnesota 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
$275.39 / $275.39 / $275.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $302.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.07 / $413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.32 / $275.39 / $275.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.75 / $859.99 / $1,046.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $324.72 / $342.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.06 / $784.80 / $984.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $378.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $651.89 / $884.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.62 / $272.07 / $328.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.62 / $272.07 / $328.47