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Virginia 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $35.50 / $35.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $31.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $53.77 / $58.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.26 / $39.26 / $39.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $43.36 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.25 / $43.50 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $46.01 / $70.80