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New Mexico rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $29.25 / $29.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $26.60 / $44.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $32.77 / $32.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $42.45 / $42.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $27.44 / $27.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $33.35