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COVID-19 Vaccine Product

Idaho rates for HCPCS 91304

Covers a dose of COVID-19 vaccine — the vaccine material itself, kept separate from the charge for the visit and for giving the injection. Each brand and formulation of COVID-19 vaccine is listed on its own.

Facilitymedian $191 · 10th–90th $135$2750%20%10th90th$191Professionalmedian $191 · 10th–90th $191$3390%50%90th$191$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$204.17