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Montana 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
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