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Georgia 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 / $199.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $223.68 / $704.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.38 / $171.72 / $171.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $376.16
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.69 / $263.00 / $281.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $202.02 / $210.44