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Massachusetts rates for HCPCS 90476

Adenovirus Vaccine Type 4 Live Oral

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.49 / $357.98 / $1,044.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $357.98 / $426.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $54.56 / $116.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.38 / $177.38 / $177.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00