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Wisconsin rates for HCPCS 0041A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5mL dosage; first dose

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.15 / $112.36 / $172.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $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