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Vermont rates for HCPCS 91304

Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.92 / $191.92 / $211.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.90 / $156.00 / $161.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.05 / $204.05 / $276.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.05 / $204.05 / $276.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.93 / $202.02 / $202.02