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Massachusetts rates for HCPCS 90644

Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $61.66 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $75.86
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
$15.85 / $18.62 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $45.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $61.66 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $36.31 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $43.65