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New Jersey 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
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,785.00 / $13,785.00 / $16,128.00