Administration of Respiratory Syncytial Virus Pricing

Published 11/29/2023

Please be aware of the 2023 administration of respiratory syncytial virus payment rates effective October 6, 2023. The code and fees are listed below. 

HCPCS Codes and Fees

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

96380

10112

Alabama

21.18

10/06/23

96380

10212

Georgia (ATL)

23.02

10/06/23

96380

10212

Georgia (OTHER)

21.31

10/06/23

96380

10312

Tennessee

21.34

10/06/23

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

96381

10112

Alabama

18.21

10/06/23

96381

10212

Georgia (ATL)

19.97

10/06/23

96381

10212

Georgia (OTHER)

18.35

10/06/23

96381

10312

Tennessee

18.36

10/06/23

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.


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