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Illinois 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
$40.74 / $40.74 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $40.74 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $61.66 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $50.12 / $100.00
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
$48.98 / $50.12 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $40.74 / $66.07