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Indiana rates for HCPCS 0094A

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, 50 mcg/0.5 mL dosage; booster dose, when administered to individuals 18 years and over

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,874.72 / $32,812.17 / $52,499.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66