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Montana 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
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $302.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $302.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.49 / $279.49 / $296.81