go back

Massachusetts rates for HCPCS 90633

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $47.86 / $141.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $114.82 / $138.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $39.81 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $40.74 / $74.13
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $275.42 / $281.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $114.82 / $138.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $38.02 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $69.18 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $42.66 / $58.88