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New Mexico rates for HCPCS 90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.48 / $26.48 / $26.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $22.07 / $26.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $74.31 / $300.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.37 / $26.02 / $26.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $15.77 / $21.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $21.82 / $21.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $23.66 / $23.98