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COVID-19 Vaccine Product

Indiana 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 $288 · 10th–90th $191$4270%20%10th90th$288Professionalmedian $191 · 10th–90th $174$2510%50%10th90th$191$10.0$20.0$50.0$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
Facility
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$223.87