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Kentucky rates for HCPCS 0073A

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, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; third dose

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $52,480.75 / $56,234.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,712.85 / $104,712.85 / $104,712.85