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Idaho 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $37.15 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $91.20 / $128.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $57.54 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.90 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $58.88