91303
CPT/HCPCSSevere acute respiratory syndrome coronavirus 2 (covid-19) vaccine, dna, spike protein, adenovirus type 26 (ad26) vector, preservative free, 5x1010 viral particles/0.5ml dosage, for intramuscular use
Physician Fee Schedule
Office
Medicare Payment
$0.01
Submitted Charge$2.26
Medicare Allowed$0.01
Providers14
Beneficiaries33
Total Services34