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North Carolina 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 / $302.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $275.39 / $275.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.07 / $272.07 / $272.07
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 / $324.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.39 / $291.92 / $356.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.80 / $226.80 / $226.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $262.18 / $324.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.80 / $307.80 / $648.00