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Massachusetts rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Facilitymedian $46 · 10th–90th $43–$3550%50%10th90th$46Professionalmedian $380 · 10th–90th $355–$4270%50%10th90th$380$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $354.81 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $380.19 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $354.81 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $380.19 / $426.58