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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
$40.71 / $40.72 / $159.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $40.72 / $52.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $111.90 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $39.56 / $48.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $59.72 / $127.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $43.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $23.61 / $47.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $39.78 / $84.33
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $273.16 / $280.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.66 / $52.66 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $42.66 / $59.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $42.66 / $59.34