The U.S. Food and Drug Administration (FDA) has granted emergency use authorization for two COVID-19 vaccines: Pfizer/BioNTech and Moderna.
Providers who wish to administer a vaccine should contact their state’s health department for requirements and information on how to register.
Billing and Submitting Claims for the COVID-19 Vaccine
CareFirst members will pay $0 for any authorized COVID-19 vaccine. Providers will be reimbursed by CareFirst for administration of a vaccine. Generally, our payment rates for administering a COVID-19 vaccine requiring a series of two or more doses are $16.94 for the initial dose and $28.39 for the final dose in the series.
Providers who administer a COVID-19 vaccine for a Medicare Advantage member will need to bill Medicare directly for those costs.
CareFirst is reviewing coding guidance and updating our claims system to process claims for the COVID-19 vaccines. We will update this page with coding guidance once that information is available.