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Indiana 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $60.26 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $56.23