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Wisconsin rates for HCPCS 0013A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5 mL dosage; third dose

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $87.97 / $99.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $79.40 / $102.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00