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Michigan 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
$30.90 / $30.90 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $104.71 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $40.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $93.33 / $104.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $39.81 / $50.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $39.81 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $50.12