go back

Massachusetts 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
$41.06 / $41.06 / $41.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.57 / $119.22 / $211.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $46.52 / $85.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.95 / $39.95 / $41.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.77 / $32.67 / $65.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $44.13 / $91.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.18 / $77.18 / $211.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $47.67 / $85.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $51.78 / $85.28