go back

Illinois rates for HCPCS 0054A

Immunization administration by intramuscular injection of 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; booster dose

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $323.59 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $41.69 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $41.69