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Connecticut 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $35.50 / $35.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $35.50 / $41.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.37 / $42.37 / $42.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $42.37 / $42.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.58 / $42.69 / $129.41