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Idaho 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
Facility
Modifier
Low / Median / High Price
$37.35 / $37.35 / $37.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $37.35 / $37.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.72 / $96.35 / $122.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $35.50 / $57.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $38.54 / $58.58