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COVID-19 Vaccine Product

Vermont 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 $145 · 10th–90th $138$1620%50%10th90th$145Professionalmedian $200 · 10th–90th $191$5130%20%40%10th90th$200$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$204.17