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Pennsylvania rates for HCPCS 0003A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, diluent reconstituted; third dose

Insurance Carrier
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $39.81 / $245.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $39.81 / $245.47