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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
$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