go back

Minnesota 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
$191.91 / $191.92 / $211.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.54 / $237.46 / $305.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.22 / $161.54 / $161.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.84 / $211.11 / $243.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.46 / $309.37 / $527.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $191.92
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $249.34 / $463.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.53 / $161.54 / $324.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.04 / $177.69 / $211.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.84 / $185.19 / $248.45