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COVID-19 Vaccine Product

Washington 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 $275 · 10th–90th $148$4070%20%10th90th$275Professionalmedian $191 · 10th–90th $182$3390%50%10th90th$191$50.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$338.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$446.68
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$147.91
Typical High
$245.47
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$407.38
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$169.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$363.08