go back

Utah 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
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $67.61 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $50.12