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New Mexico rates for HCPCS 90685

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.78 / $22.78 / $22.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $20.72 / $43.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $25.52 / $25.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $21.58 / $21.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.11 / $21.40 / $21.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $27.34