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COVID-19 Vaccine Product

New Hampshire 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 $501 · 10th–90th $263$8320%10%10th90th$501Professionalmedian $191 · 10th–90th $174$3630%50%10th90th$191$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$295.12