0003A
CPT/HCPCSIntramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; third dose
Physician Fee Schedule
Office
Medicare Payment
$40.76
Submitted Charge$80.12
Medicare Allowed$40.76
Providers170
Beneficiaries943
Total Services946