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Iowa 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
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $70.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $77.62 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $91.20 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $79.43