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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 October 2026.

How much rates vary

Facilitymedian $110 · 10th to 90th $95 to $162Professionalmedian $89 · 10th to 90th $42 to $102
$50$100$200facility $110professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$109.65
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$89.13
Typical High
$102.33
Quartz
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$104.71