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Maryland 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
$130.56 / $191.91 / $191.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $144.53 / $171.72
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
$181.82 / $191.92 / $191.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.67 / $202.02 / $202.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.54 / $161.54 / $161.54