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Minnesota rates for HCPCS 90622

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

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