91305
CPT/HCPCSSevere acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation, for intramuscular use
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Medicare Payment
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Submitted Charge$6.23
Medicare Allowed$0.01
Providers162
Beneficiaries598
Total Services621