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Nationwide rates for HCPCS 91304

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $251.19 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $194.98 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $181.97 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $208.93