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Montana 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $60.99 / $60.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $60.99 / $60.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $43.29 / $56.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $36.45 / $64.64