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North Dakota 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $40.04 / $40.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.10 / $39.10 / $44.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $39.19 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.65 / $58.65 / $58.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $64.66 / $86.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $43.10 / $81.95