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California rates for HCPCS 91305

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $1,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $90.00