Home › Drug Codes › CPT Codes › 91320 · COMIRNATY 2023-2024 AGE 12 AND OLDER
Updated October 1st, 2026

COMIRNATY 2023-2024 AGE 12 AND OLDER CPT Vaccine Code: 91320

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use

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Medicare Payment Limit ?
$230.405
2026–27 Season rate · per dose
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Medicare Coverage Medicare Part B covers COMIRNATY 2023-2024 AGE 12 AND OLDER as a preventive vaccine — the Part B deductible and coinsurance do not apply.

Vaccine & Product Overview

HCPCS Descriptor Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use
Manufacturer Pfizer
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About COMIRNATY 2023-2024 AGE 12 AND OLDER

Comirnaty 2023-2024 AGE 12 AND Older is a medication aligned to the HCPCS CPT Drug Code: 91320 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular route and manufactured by Pfizer.

According to CMS Drug Use Information: This vaccine is used to help prevent coronavirus disease, also known as COVID-19. It works by increasing the body's natural defense (immunity) against the virus. This vaccine may prevent the illness, or reduce the seriousness of it. Vaccines may not fully protect everyone who receives them.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

3 NDC packages are crosswalked to 91320. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
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COMIRNATY 2023-2024 AGE 12 AND OLDER
COMIRNATY 2023-2024 AGE 12 AND OLDER
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COMIRNATY 2023-2024 AGE 12 AND OLDER Pricing & Reimbursement

91320 Private Payer Reimbursement
$181.51 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Medicare vaccine payment limits reset each season (effective August 1) — year-over-year steps in the chart reflect the new season's pricing, not data errors.

COMIRNATY 2023-2024 AGE 12 AND OLDER Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

COMIRNATY 2023-2024 AGE 12 AND OLDER Medically Unlikely Edits (MUE)

The most billing units of 91320 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.3 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.3 ml per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

COMIRNATY 2023-2024 AGE 12 AND OLDER Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

COVID-19

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Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Comirnaty 2023-2024 Age 12 And Older?
Our team has not identified a manufacturer-published source of billing and coding information for COMIRNATY 2023-2024 AGE 12 AND OLDER.
Are there any available patient assistance programs for Comirnaty 2023-2024 Age 12 And Older?
COMIRNATY 2023-2024 AGE 12 AND OLDER patient assistance information can be found through Pfizer. Visit Here →
Where can I find Comirnaty 2023-2024 Age 12 And Older prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Comirnaty 2023-2024 Age 12 And Older?
Our team has not identified a source of side effect information for Comirnaty 2023-2024 Age 12 And Older.
Does billing COMIRNATY 2023-2024 AGE 12 AND OLDER require JZ/JW wastage modifiers?
CMS does not include COMIRNATY 2023-2024 AGE 12 AND OLDER (91320) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 91320. For more information, visit the link below.

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Related Drug Codes

Explore billing, coding, and pricing for drugs related to COMIRNATY 2023-2024 AGE 12 AND OLDER.

91321COVID-19 VACCINE 2023-2024Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular useModerna91319PFIZER-BIONTECH COVID-19 VACCINE 2023-2024 AGE5<12Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular usePfizer91322SPIKEVAX 2023-2024 FORMULASevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular useModerna91323mNEXSPIKE 2025-26 (12Y UP)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular useModerna91304NOVAVAX COVID-19 VACCINE, 2023-2024 ADJUVANTEDSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramuscular useNovavaxJ0248VEKLURYInjection, remdesivir, 1 mgGilead SciencesAdded December 23, 202190371HYPERHEP BHepatitis B immune globulin (HBIg), human, for intramuscular useMultiple Manufacturers90375HYPERRABRabies immune globulin (RIg), human, for intramuscular and/or subcutaneous useGrifols90376IMOGAM RABIES-HTRabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous useSanofi90377KEDRABRabies ig ht&sol human im/scKedrion Biopharma