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Last Modified: 7/11/2022 Location: FL, PR, USVI Business: Part A, Part B

2021 payment rates for COVID-19 vaccine and monoclonal administration

CMS established national payment allowances for the administration of COVID-19 vaccines and monoclonal antibodies. These allowances will be geographically adjusted for many providers. The First Coast allowances for jurisdiction N (JN) for administration of COVID-19 vaccines and monoclonal antibodies for 2021 are below.

Dates of service (DOS) January 1 through March 14

CODE
Effective date
Florida LOC 99 (01/02)
Florida LOC 03
Florida LOC 04
Puerto Rico
U.S. Virgin Islands
0001A
12/11/2020
16.59
17.41
17.91
17.18
17.18
0002A
12/11/2020
27.48
28.88
29.81
28.40
28.40
0011A
12/18/2020
16.59
17.41
17.91
17.18
17.18
0012A
12/18/2020
27.48
28.88
29.81
28.40
28.40
0031A
02/27/2021
27.48
28.88
29.81
28.40
28.40
M0239
11/10/2020
296.48
316.88
328.22
313.07
313.07
M0243
11/21/2020
296.48
316.88
328.22
313.07
313.07
M0245
02/09/2021
296.48
316.88
328.22
313.07
313.07

DOS March 15 through May 5

CODE
Effective date
Florida LOC 99 (01/02)
Florida LOC 03
Florida LOC 04
Puerto Rico
U.S. Virgin Islands
0001A
12/11/2020
38.88
40.75
41.85
40.32
40.32
0002A
12/11/2020
38.88
40.75
41.85
40.32
40.32
0011A
12/18/2020
38.88
40.75
41.85
40.32
40.32
0012A
12/18/2020
38.88
40.75
41.85
40.32
40.32
0031A
02/27/2021
38.88
40.75
41.85
40.32
40.32
M0239*
11/10/2020
296.48
316.88
328.22
313.07
313.07
M0243
11/21/2020
296.48
316.88
328.22
313.07
313.07
M0245
02/09/2021
296.48
316.88
328.22
313.07
313.07
*Inactive for DOS after April 16 due to FDA’s revocation of the emergency use authorization (EUA)

DOS May 6 through December 31

CODE
Effective date
Florida LOC 99 (01/02)
Florida LOC 03
Florida LOC 04
Puerto Rico
U.S. Virgin Islands
0001A
12/11/2020
38.88
40.75
41.85
40.32
40.32
0002A
12/11/2020
38.88
40.75
41.85
40.32
40.32
0003A
08/12/2021
38.88
40.75
41.85
40.32
40.32
0004A
09/22/2021
38.88
40.75
41.85
40.32
40.32
0011A
12/18/2020
38.88
40.75
41.85
40.32
40.32
0012A
12/18/2020
38.88
40.75
41.85
40.32
40.32
0013A
08/12/2021
38.88
40.75
41.85
40.32
40.32
0031A
02/27/2021
38.88
40.75
41.85
40.32
40.32
0034A
10/20/2021
38.88
40.75
41.85
40.32
40.32
0064A
10/20/2021
38.88
40.75
41.85
40.32
40.32
0071A
10/29/2021
38.88
40.75
41.85
40.32
40.32
0072A
10/29/2021
38.88
40.75
41.85
40.32
40.32
M0220
12/08/2021
143.37
153.23
158.67
151.45
151.45
M0221
12/08/2021
238.52
254.91
263.97
251.94
251.94
M0240
07/30/2021
428.82
458.28
474.57
452.93
452.93
M0241
07/30/2021
715.42
764.69
792.09
755.45
755.45
M0243
11/21/2020
428.82
458.28
474.57
452.93
452.93
M0244
05/06/2021
715.42
764.69
792.09
755.45
755.45
M0245
02/09/2021
428.82
458.28
474.57
452.93
452.93
M0246
05/06/2021
715.42
764.69
792.09
755.45
755.45
M0247
05/26/2021
428.82
458.28
474.57
452.93
452.93
M0248
05/26/2021
715.42
764.69
792.09
755.45
755.45
M0249
06/24/2021
428.82
458.28
474.57
452.93
452.93
M0250
06/24/2021
428.82
458.28
474.57
452.93
452.93
M0201
06/08/2021
34.18
35.86
36.89
35.41
35.41
Access the CMS COVID-19 Vaccines and Monoclonal Antibodies webpage for the national allowances and the geographically adjusted rates for other jurisdictions. The files for the geographically adjusted rates can be found under the Additional Resources section.
Note for Part A providers: The final payment for the vaccine and mAb infusion administrations may vary from the published rate based on the institution’s adjusted wage index.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.