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California rates for HCPCS 91304

Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $191.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $191.92 / $211.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.13 / $306.55 / $687.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.54 / $171.72 / $700.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $96.30 / $161.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.54 / $161.54 / $358.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $188.55 / $188.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $226.47 / $434.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.25 / $340.08 / $585.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $274.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $188.55 / $191.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.54 / $211.11 / $326.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.24 / $202.02 / $493.81