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Washington 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 / $367.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $313.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $291.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $291.60 / $340.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.39 / $302.39 / $604.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $302.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $6.67 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.20 / $259.20 / $324.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $324.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.44 / $307.80 / $340.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $291.60 / $291.60
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 / $279.49 / $324.00