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Indiana 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
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $39.90 / $59.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $39.90 / $49.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.86 / $46.86 / $46.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $36.45 / $55.66