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Massachusetts rates for HCPCS 90733

Mpsv4 Vaccine Groups Acyw-135 Subq Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.50 / $125.50 / $235.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $190.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.13 / $254.16 / $532.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $147.65 / $181.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.26 / $135.88 / $289.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
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
$59.98 / $70.56 / $141.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.68 / $125.50 / $260.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.65 / $172.65 / $532.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $221.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $147.65 / $206.72