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Washington, DC 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
$191.92 / $191.92 / $191.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $230.69 / $390.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $163.13 / $191.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.67 / $190.24 / $242.42