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New Mexico rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $20.13 / $40.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $16.10 / $86.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $15.28 / $22.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.38 / $7.38 / $7.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $16.10 / $23.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $13.42 / $22.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.09 / $8.05