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New Mexico rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.60 / $327.14 / $327.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $271.70 / $307.75
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
$230.97 / $307.95 / $307.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.56 / $269.49 / $269.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.89 / $288.60 / $288.74