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West 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.56 / $26.56 / $26.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $26.56 / $26.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $59.85 / $59.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $45.89 / $45.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $192.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $38.01 / $58.91