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COVID-19 Vaccine Product

North Carolina 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 $209 · 10th–90th $186$2690%50%10th90th$209Professionalmedian $191 · 10th–90th $191$2090%50%90th$191$100.0$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
$186.21
Median
$208.93
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56