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Arizona rates for HCPCS M0201

Administration Of Pneumococcal Influenza Hepatis B And/Or Covid-19 Vaccine Inside A Patients Home; Reported Only Once Per Individual Home Per Date Of Service When Such Vaccine Administration(S) Are Performed At The Patients Home (Desc Rvsd 1/1/2024)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $38.56 / $61.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $28.00 / $185.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $31.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $58.83 / $211.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $37.36 / $53.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $37.90 / $60.51