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Kentucky rates for HCPCS 0081A

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, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; first dose

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $55,999.44 / $69,999.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,749.56 / $43,749.56 / $104,998.95