91304
CPT/HCPCSSevere acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use
Physician Fee Schedule
Office
Medicare Payment
$142.52
Submitted Charge$170.25
Medicare Allowed$142.52
Providers5,793
Beneficiaries25,638
Total Services25,766