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New York 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
$38.54 / $38.54 / $38.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $33.61 / $38.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.81 / $48.81 / $48.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.81 / $48.81 / $48.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $192.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.17 / $63.59 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $69.37 / $128.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $51.51 / $83.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $40.00 / $169.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $42.98 / $104.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $36.64 / $83.74