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Tennessee rates for HCPCS M0201

Administration Of Pneumococcal Influenza Hepatis B And/Or Covid-19 Vaccine Inside A Patients Home; Reported Only Once Per Individual Home Per Date Of Service When Such Vaccine Administration(S) Are Performed At The Patients Home (Desc Rvsd 1/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.97 / $31.97 / $31.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $31.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.34 / $211.40 / $211.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $37.40 / $75.54