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South 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 / $275.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.57 / $319.57 / $319.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.39 / $324.00 / $371.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $272.07 / $324.00