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New Jersey 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
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $12,589.25 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81