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Massachusetts rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $163.24 / $163.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $169.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.32 / $218.32 / $596.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $247.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.03 / $216.47 / $461.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
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
$75.84 / $89.23 / $178.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $163.24 / $339.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.32 / $218.32 / $596.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $247.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $192.05 / $230.98