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Massachusetts rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.67 / $32.35 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $33.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $90.09 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $31.47 / $38.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $48.00 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
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
$17.03 / $20.04 / $40.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.18 / $31.98 / $67.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $41.51 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $37.61 / $47.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $36.19 / $55.07