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North Carolina 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

Facilitymedian $52 · 10th–90th $35–$520%50%10th$52Professionalmedian $39 · 10th–90th $31–$540%10%20%10th90th$39$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $77.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78