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Kentucky rates for HCPCS 0022A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, chimpanzee adenovirus Oxford 1 (ChAdOx1) vector, preservative free, 5x1010 viral particles/0.5mL dosage; second dose

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $62,999.38 / $83,999.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74,024.27 / $104,998.95 / $104,998.95