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Virginia 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 / $674.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $316.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $275.00 / $275.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $324.00 / $419.43
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.35 / $307.80 / $397.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.35 / $307.80 / $397.44
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 / $315.82 / $324.00