Medical, Dental & Pharmacy

Billing

Administering Vaccines – Billing and Payments

Refer to the following billing and payment information:

  1. Bill office visits associated with administering vaccinations when the visit is not solely to administer vaccines
  2. Effective for service dates starting January 1, 2018, the base rate for vaccine administration is the lower of the provider’s submitted charge or the resource based relative value scale (RBRVS) rate. The paid amount is not to exceed the Centers for Medicare and Medicaid Services (CMS) Minnesota maximum vaccine administration fee or the wholesale acquisition cost if Medicare has not established an average sale price.

PW_11-19_558
Updated_10/11/2023