Cash Rates

Telemedicine Rates

Procedure Code Rates
99202
$146.93
99203
$223.72
99204
$331.83
99205
$438.26
99211
$48.08
99212
$114.14
99213
$181.80
99214
$256.16
99215
$359.57
99441
$113.20
99442
$181.33
99443
$256.16
99421
$29.70
99422
$57.94
99423
$94.32

Vaccination Administration Service

*Code varies based on labeler name*

PFIZER: PURPLE CAP

Procedure Code Rates
0001A
$72.00
0002A
$72.00
0003A
$72.00
0004A
$72.00

PFIZER: ORANGE CAP (PEDIATRICS)

Procedure Code Rates
0071A
$72.00
0072A
$72.00
0073A
$72.00

PFIZER: GREY CAP

Procedure Code Rates
0051A
$72.00
0052A
$72.00
0053A
$72.00
0054A
$72.00

MODERNA

Procedure Code Rates
0011A
$72.00
0012A
$72.00
0013A
$72.00

MODERNA: BOOSTER

Procedure Code Rates
0064A
$72.00

AZTRAZENECA

Procedure Code Rates
0021A
$72.00
0022A
$72.00

JANSSEN

Procedure Code Rates
0031A
$72.00
0034A
$72.00

NOVAVAX

Procedure Code Rates
0041A
$72.00
0042A
$72.00

Home Vaccine Administration

Procedure Code Rates
M0201
$63.90

Monoclonal Antibodies

ASCADA Driven Care Rates
$998.00
$1,988.00

Cash Rates

Telemedicine Rates

Procedure Code Rates
99202
$146.93
99203
$223.72
99204
$331.83
99205
$438.26
99211
$48.08
99212
$114.14
99213
$181.80
99214
$256.16
99215
$359.57
99441
$113.20
99442
$181.33
99443
$256.16
99421
$29.70
99422
$57.94
99423
$94.32

Vaccination Administration Service

*Code varies based on labeler name*

PFIZER: PURPLE CAP

Procedure Code Rates
0001A
$72.00
0002A
$72.00
0003A
$72.00
0004A
$72.00

PFIZER: ORANGE CAP (PEDIATRICS)

Procedure Code Rates
0071A
$72.00
0072A
$72.00
0073A
$72.00

PFIZER: GREY CAP

Procedure Code Rates
0051A
$72.00
0052A
$72.00
0053A
$72.00
0054A
$72.00

MODERNA

Procedure Code Rates
0011A
$72.00
0012A
$72.00
0013A
$72.00

MODERNA: BOOSTER

Procedure Code Rates
0064A
$72.00

AZTRAZENECA

Procedure Code Rates
0021A
$72.00
0022A
$72.00

JANSSEN

Procedure Code Rates
0031A
$72.00
0034A
$72.00

NOVAVAX

Procedure Code Rates
0041A
$72.00
0042A
$72.00

Home Vaccine Administration

Procedure Code Rates
M0201
$63.90

Monoclonal Antibodies

ASCADA Driven Care Rates
$998.00
$1,988.00