go back

Illinois 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
$35.11 / $35.11 / $60.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $60.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $233.23 / $508.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $35.50 / $35.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $31.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.23 / $93.46
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $50.62 / $54.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $42.07 / $75.45