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Nebraska 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.67 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $60.26 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $54.95 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $61.66 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $83.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $83.18 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $44.67 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $89.13