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New Mexico rates for HCPCS 90657

Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $13.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $9.76 / $13.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $8.61 / $10.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.62 / $11.83