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Kentucky rates for HCPCS 91301

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage, for intramuscular use

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $56,234.13 / $63,095.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58