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New Mexico rates for HCPCS 90670

Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.14 / $263.14 / $271.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $260.00 / $335.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.95 / $1,006.78 / $1,726.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.91 / $304.23 / $304.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.20 / $196.20 / $196.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.75 / $145.11 / $253.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $253.60 / $253.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $271.57 / $309.58