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COVID-19 Vaccine Product

Nebraska 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 $204 · 10th–90th $162$4270%20%10th90th$204Professionalmedian $191 · 10th–90th $98$4070%20%40%10th90th$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
$190.55
Median
$194.98
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$204.17