go back

Nebraska 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 / $302.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $191.92 / $191.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.09 / $206.41 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.74 / $206.41 / $217.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $191.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $306.31 / $382.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.53 / $149.63 / $585.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.54 / $177.69 / $193.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.85 / $193.85 / $436.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.85 / $193.85 / $318.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $190.24 / $202.02