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Maine 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
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $39.81 / $58.88