go back

Massachusetts rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $31.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.29 / $80.33 / $165.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $29.88 / $43.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $29.87 / $63.68
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
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.01 / $42.01 / $49.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $23.41 / $48.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $60.46 / $165.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $24.28 / $36.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $24.28 / $36.42