go back

Massachusetts 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 / $199.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $559.83 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $193.60 / $235.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.21 / $148.21 / $148.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $148.21 / $148.21
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $303.23 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $191.92 / $398.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.22 / $208.22 / $340.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $202.02 / $252.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $202.02 / $235.70