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New Hampshire 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 / $308.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $540.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.95 / $447.25 / $850.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $247.34 / $324.00