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Texas 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 / $230.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $191.92 / $191.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.10 / $152.10 / $152.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.25 / $340.08 / $585.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.54 / $191.92 / $274.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.26 / $191.92 / $191.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $274.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $191.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.93 / $198.65 / $202.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $133.38 / $259.08