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Minnesota rates for HCPCS 0034A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage; booster dose

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.87 / $127.45 / $306.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $44.01 / $50.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $116.52 / $241.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $40.01 / $56.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68