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North Dakota 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 / $191.91 / $191.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.83 / $181.61 / $183.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $220.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $191.92 / $205.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.04 / $191.92 / $575.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.04 / $177.69 / $177.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $185.19 / $202.02