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Minnesota 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $33.75 / $33.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.68 / $73.22 / $142.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $37.90 / $39.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.49 / $43.01 / $49.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $41.67 / $49.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.10 / $39.10 / $39.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $39.19 / $39.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $78.36 / $121.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $62.73 / $91.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $57.82 / $91.16