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New Mexico rates for HCPCS 90378

Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.79 / $2,184.79 / $2,184.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $2,042.77 / $2,430.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,754.99 / $6,435.18 / $10,486.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.64 / $699.46 / $839.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.63 / $1,191.63 / $1,191.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.38 / $1,307.35 / $2,039.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.07 / $2,123.77 / $2,250.34