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Minnesota 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
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $72.44 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $42.66 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $51.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $77.62 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $63.10 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $93.33