Service Service Code Req. or Limit Code Req. or Limit years of age Immunization Program for 90654 IC; Covered for members children younger than 19 ≥ 19; available free of charge years of age through the Massachusetts 90676 IC Immunization Program for 90682 Covered for members 19; ≥ children younger than 19 available free of charge years of age through the Massachusetts 90658 IC; Covered for members Immunization Program for ≥ 19; available free of charge children younger than 19 through the Massachusetts years of age 90686 Covered for members 19; Immunization Program for ≥ available free of charge children younger than 19 through the Massachusetts years of age Immunization Program for 90660 IC; Covered for members ≥ children younger than 19 19; available free of charge years of age through the Massachusetts 90688 Covered for members 19; ≥ Immunization Program for available free of charge children younger than 19 through the Massachusetts years of age Immunization Program for 90661 IC; Covered for members ≥ children younger than 19 19; available free of charge years of age through the Massachusetts 90690 IC Immunization Program for 90696 IC children younger than 19 90707 IC; Covered for members ≥ years of age 19; available free of charge 90664 IC through the Massachusetts 90666 IC Immunization Program for 90667 IC children younger than 19 90668 IC years of age 90710 IC; Covered for members 90670 Covered for members 19; ≥ ≥ 19; available free of charge available free of charge through the Massachusetts through the Massachusetts Immunization Program for Immunization Program for children younger than 19 children younger than 19 years of age years of age 90713 IC; Covered for members ≥ 90672 Covered for members > 19 < 19; available free of charge 49; available free of charge through the Massachusetts through the Massachusetts Immunization Program for Immunization Program for children younger than 19 children younger than 19 years of age years of age 90715 Covered for members 19; ≥ 90673 Covered for members 19; ≥ available free of charge available free of charge through the Massachusetts through the Massachusetts Immunization Program for
Service Code Req. or Limit years of age 90654 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90658 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90660 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90661 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90664 IC 90666 IC 90667 IC 90668 IC 90670 Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90672 Covered for members > 19 < 49; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90673 Covered for members ≥ 19; available free of charge through the Massachusetts Service Code Req. or Limit Immunization Program for children younger than 19 years of age 90676 IC 90682 Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90686 Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90688 Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90690 IC 90696 IC 90707 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90710 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90713 IC; Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for children younger than 19 years of age 90715 Covered for members ≥ 19; available free of charge through the Massachusetts Immunization Program for