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New York 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
$0.03 / $275.39 / $328.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $302.93
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $291.60 / $472.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $291.60 / $291.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $283.50 / $283.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.50 / $283.50 / $307.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.39 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $411.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $298.29 / $442.26
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $283.50 / $283.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.50 / $283.50 / $307.80