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Pennsylvania rates for HCPCS 0013A

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, 100 mcg/0.5 mL dosage; third dose

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.18 / $40.07 / $40.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.18 / $38.18 / $40.07