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Missouri rates for HCPCS 0124A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation; additional dose

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $48.98