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Iowa 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
$34.27 / $34.27 / $34.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.10 / $39.10 / $39.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $39.19 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $50.62 / $67.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $63.24 / $110.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $43.99 / $74.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $55.99 / $91.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $56.25 / $77.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $34.74 / $64.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $36.90 / $36.90