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Nebraska 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 / $399.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.08 / $190.59 / $371.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $302.39 / $337.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.26 / $1,215.00 / $1,215.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $279.49 / $324.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $272.07 / $324.00