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Washington 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 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $41.69 / $44.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $83.18 / $114.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $109.65 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $79.43