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New Mexico rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $36.90 / $36.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.99 / $36.90 / $58.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $28.63 / $34.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.24 / $28.42 / $38.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $29.14