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Kentucky 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
$33.75 / $33.75 / $33.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $43.89 / $63.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $43.89 / $61.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $45.89 / $45.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.32 / $192.32 / $192.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $34.59 / $50.24