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New Jersey 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
$191.92 / $191.92 / $191.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.51 / $94.71 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.03 / $188.55 / $188.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.54 / $13,785.00 / $16,128.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $153.04 / $153.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $190.24 / $202.02