Cost analysis for CPT 0124A — Adm sarscv2 bvl 30mcg/.3ml a
Average Medicare Payment
$40.62
2023 data
Total Payments (2023)
$36.3M
Services (2023)
879.0K
Price Change (2022–2023)
+5.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $38.50 | $177.5M | 4.5M | — |
| 2023 | $40.62 | $36.3M | 879.0K | +5.5% |
The most expensive state pays 1.3x more than the cheapest for this procedure. AK averages $49.46 vs AR at $37.05.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $49.46 | $53.4K | 1.1K | 21 |
| DC | $46.03 | $83.8K | 1.8K | 39 |
| CA | $44.38 | $4.3M | 97.6K | 1.9K |
| NY | $44.36 | $2.2M | 48.7K | 1.0K |
| MA | $44.05 | $1.4M | 31.2K | 466 |
| MD | $43.81 | $1.1M | 25.2K | 544 |
| NJ | $43.70 | $1.1M | 25.9K | 545 |
| CT | $43.08 | $375.2K | 8.7K | 238 |
| ID | $42.58 | $3.2M | 75.7K | 81 |
| HI | $42.29 | $242.4K | 5.7K | 65 |
| IL | $41.88 | $1.3M | 31.2K | 714 |
| WA | $41.64 | $1.1M | 25.9K | 620 |
| RI | $41.63 | $76.1K | 1.8K | 51 |
| CO | $41.49 | $2.0M | 48.3K | 328 |
| VA | $41.39 | $1.2M | 28.3K | 673 |
| NH | $41.10 | $355.8K | 8.7K | 175 |
| DE | $40.71 | $214.6K | 5.3K | 117 |
| PA | $40.68 | $1.6M | 40.2K | 1.1K |
| PR | $40.56 | $19.1K | 471 | 18 |
| MT | $40.42 | $128.1K | 3.2K | 60 |
| FL | $40.40 | $2.1M | 52.1K | 1.4K |
| NV | $40.18 | $203.1K | 5.1K | 135 |
| TX | $40.13 | $1.2M | 31.1K | 1.1K |
| OR | $40.06 | $487.7K | 12.2K | 331 |
| MI | $39.95 | $639.7K | 16.0K | 541 |
| GA | $39.83 | $450.0K | 11.3K | 402 |
| ME | $39.69 | $88.4K | 2.2K | 78 |
| AZ | $39.60 | $575.1K | 14.5K | 296 |
| MN | $39.53 | $717.9K | 18.2K | 618 |
| VT | $39.50 | $129.5K | 3.3K | 83 |
| ND | $39.44 | $92.4K | 2.3K | 46 |
| MO | $39.33 | $446.5K | 11.4K | 315 |
| SD | $39.25 | $170.4K | 4.3K | 66 |
| GU | $39.20 | $8.9K | 227 | 2 |
| NM | $39.12 | $188.0K | 4.8K | 85 |
| OH | $39.11 | $888.0K | 22.7K | 793 |
| NC | $38.67 | $1.0M | 26.7K | 773 |
| LA | $38.66 | $205.5K | 5.3K | 142 |
| WY | $38.62 | $42.9K | 1.1K | 37 |
| SC | $38.56 | $437.3K | 11.3K | 329 |
| WI | $38.31 | $699.8K | 18.3K | 415 |
| WV | $38.27 | $55.6K | 1.5K | 58 |
| IN | $38.04 | $582.4K | 15.3K | 493 |
| IA | $38.02 | $614.1K | 16.1K | 376 |
| AL | $37.99 | $98.0K | 2.6K | 116 |
| KY | $37.99 | $294.3K | 7.7K | 269 |
| TN | $37.91 | $410.4K | 10.8K | 335 |
| NE | $37.65 | $258.1K | 6.9K | 159 |
| MS | $37.37 | $166.4K | 4.5K | 133 |
| OK | $37.35 | $254.1K | 6.8K | 179 |
| KS | $37.31 | $357.5K | 9.6K | 235 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Walgreen Co | Centralized Flu | CO | $1.6M | 38.2K | $41.68 |
| Safeway Inc | Centralized Flu | ID | $1.4M | 33.1K | $43.04 |
| American Drug Stores Llc | Centralized Flu | ID | $483.8K | 11.4K | $42.41 |
| Albertsons Llc | Centralized Flu | ID | $393.5K | 9.6K | $40.93 |
| Nai Saturn Eastern Llc | Centralized Flu | ID | $248.1K | 5.5K | $44.93 |
| Vons Companies Inc | Centralized Flu | ID | $207.5K | 4.8K | $43.67 |
| Acme Markets Inc | Centralized Flu | ID | $153.9K | 3.6K | $43.18 |
| Giant Of Maryland Llc | Centralized Flu | MD | $133.3K | 2.9K | $46.15 |
| Randalls Food & Drugs Lp | Centralized Flu | ID | $94.2K | 2.3K | $40.52 |
| Pharmscript Llc | Mass Immunizer Roster Biller | NJ | $88.3K | 1.9K | $45.29 |
| Specialty Rx Inc | Mass Immunizer Roster Biller | NJ | $86.8K | 2.2K | $39.20 |
| Shaws Supermarkets Inc | Centralized Flu | ID | $85.8K | 2.0K | $41.98 |
| Avera Mckennan | Mass Immunizer Roster Biller | SD | $78.7K | 2.0K | $39.20 |
| Symbria Rx Services, Llc | Mass Immunizer Roster Biller | IL | $74.8K | 1.9K | $39.19 |
| Jeffrey Bahr | Internal Medicine | WI | $70.5K | 1.9K | $37.66 |
| Li Script Llc | Mass Immunizer Roster Biller | NY | $62.5K | 1.6K | $39.20 |
| Geri Script L L C | Mass Immunizer Roster Biller | NJ | $61.7K | 1.4K | $45.29 |
| Supervalu Pharmacies Inc | Centralized Flu | MN | $60.4K | 1.5K | $39.20 |
| Pharmscript Of Md Llc | Pharmacy | MD | $52.8K | 1.2K | $43.34 |
| Richard Bone | Gastroenterology | IL | $50.4K | 1.2K | $41.65 |
Based on the data, CPT 0124A shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 5.5% since 2022. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.