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Colorado 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
$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
$209.19 / $336.97 / $614.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.02 / $202.02 / $202.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.73 / $191.92 / $274.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.94 / $211.11 / $257.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $190.24 / $202.02