Home › Drug Codes › CPT Codes › 91321 · COVID-19 VACCINE 2023-2024
Updated October 1st, 2026

COVID-19 VACCINE 2023-2024 CPT Vaccine Code: 91321

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use

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Medicare Payment Limit ?
$172.967
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 ?
4
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Medicare Coverage Medicare Part B covers COVID-19 VACCINE 2023-2024 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, 25 mcg/0.25 mL dosage, for intramuscular use
Manufacturer Moderna
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About COVID-19 VACCINE 2023-2024

Covid-19 Vaccine 2023-2024 is a medication aligned to the HCPCS CPT Drug Code: 91321 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the intramuscular route and manufactured by Moderna.

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

4 NDC packages are crosswalked to 91321. Package detail is available to logged-in subscribers.

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COVID-19 VACCINE 2023-2024 Pricing & Reimbursement

91321 Private Payer Reimbursement
$148.34 / 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.

COVID-19 VACCINE 2023-2024 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.

COVID-19 VACCINE 2023-2024 Medically Unlikely Edits (MUE)

The most billing units of 91321 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.25 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.

COVID-19 VACCINE 2023-2024 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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Compare COVID-19 VACCINE 2023-2024 with same-ingredient drugs

  • COVID-19 VACCINE 2023-2024 91321
  • COMIRNATY 2023-2024 AGE 12 AND OLDER 91320
  • PFIZER-BIONTECH COVID-19 VACCINE 2023-2024 AGE5<12 91319
  • SPIKEVAX 2023-2024 FORMULA 91322
  • mNEXSPIKE 2025-26 (12Y UP) 91323

ASP, the Medicare payment limit, WAC and AWP for all 5 drugs on one timeline, with 10+ years of monthly history.

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Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Covid-19 Vaccine 2023-2024?
Billing and coding information for COVID-19 VACCINE 2023-2024 can be found through Moderna. Visit Here →
Are there any available patient assistance programs for Covid-19 Vaccine 2023-2024?
COVID-19 VACCINE 2023-2024 patient assistance information can be found through Moderna. Visit Here →
Where can I find Covid-19 Vaccine 2023-2024 prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Covid-19 Vaccine 2023-2024?
Our team has not identified a source of side effect information for Covid-19 Vaccine 2023-2024.
Does billing COVID-19 VACCINE 2023-2024 require JZ/JW wastage modifiers?
CMS does not include COVID-19 VACCINE 2023-2024 (91321) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 91321. For more information, visit the link below.

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