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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $42.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $58.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $32.36 / $35.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $32.36 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $104.71 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $66.07