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Minnesota rates for HCPCS 90622

Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use

Facilitymedian $0 · 10th–90th $0–$00%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.12 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.05
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.11 / $0.14
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.05