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COVID-19 Vaccine Injection - Novavax, Second Dose

Wisconsin rates for HCPCS 0042A

Covers giving the second shot of the Novavax COVID-19 vaccine, the one that completes its two-shot initial series. The visit is the same as the first: a health check, the injection into the upper arm muscle, counseling, and a short observation period. The vaccine product itself is recorded separately from the work of giving it.

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $95$2000%10%20%10th90th$112Professionalmedian $79 · 10th–90th $42$1050%20%40%10th90th$79$50.0$100.0$200.0

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$89.13
Typical High
$102.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$245.47
Typical High
$245.47