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New Mexico rates for HCPCS 90686

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Facilitymedian $62 · 10th–90th $19–$2570%20%10th90th$62Professionalmedian $23 · 10th–90th $20–$480%20%40%10th90th$23$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $51.29 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $177.83 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $44.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $26.92