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New Mexico rates for HCPCS 90474

Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Facilitymedian $39 · 10th–90th $18–$2040%20%40%10th90th$39Professionalmedian $13 · 10th–90th $3–$650%10%20%10th90th$13$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $12.88 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $138.04 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $17.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $19.50