| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Harvard Pilgrim
| Professional | $39.14 | $45.28 | $69.47 | |
United
| Professional | $29.01 | $49.34 | $63.81 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Harvard Pilgrim
| Professional | $39.14 | $45.28 | $69.47 | |
United
| Professional | $29.01 | $49.34 | $63.81 |