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Oklahoma 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
$297.43 / $297.43 / $297.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.43 / $297.43 / $302.93
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.43 / $312.30 / $1,215.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.97 / $291.86 / $324.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.97 / $291.86 / $324.00