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COVID-19 Vaccine Product

Missouri 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.

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $191$5010%20%40%10th90th$204Professionalmedian $195 · 10th–90th $191$2040%20%40%10th90th$195$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
$190.55
Typical High
$251.19
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
$204.17
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$204.17