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New Mexico rates for HCPCS 90688

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $34.00 / $34.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $19.98 / $35.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.98 / $167.11 / $300.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $24.62 / $24.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $31.89 / $31.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $20.65 / $20.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $21.98 / $25.06