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Utah rates for HCPCS 91304

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $199.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $204.17