91303

CPT/HCPCS

Severe 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