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