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California rates for HCPCS M0201

Administration of pneumococcal, influenza, hepatitis B, and/or COVID-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $34.67 / $117.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $93.33 / $117.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $97.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $53.70 / $70.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $42.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $134.90