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Massachusetts rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.60 / $495.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.60 / $164.60 / $200.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $374.08 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $187.09 / $235.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.69 / $238.66 / $508.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $158.97 / $330.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.10 / $153.10 / $153.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $177.69 / $374.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $187.09 / $235.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $187.09 / $219.39