go back

Texas rates for HCPCS 91308

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use

Insurance Carrier
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.75 / $883.75 / $883.75