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

11202

South Carolina

21.62

10/06/23

96380

11302

Virginia

22.84

10/06/23

96380

11402

West Virginia

21.09

10/06/23

96380

11502

North Carolina

21.89

10/06/23

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

96381

11202

South Carolina

18.63

10/06/23

96381

11302

Virginia

19.80

10/06/23

96381

11402

West Virginia

18.14

10/06/23

96381

11502

North Carolina

18.89

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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