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COVID-19 Vaccine Product

Michigan 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 $182$4900%50%10th90th$191Professionalmedian $191 · 10th–90th $170$2290%50%10th90th$191$200.0$500.0$1.0K

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
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$426.58
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$229.09
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$208.93