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New Mexico rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.68 / $157.68 / $184.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $167.97 / $196.92
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
$109.39 / $123.68 / $145.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $65.95 / $172.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $149.63 / $184.68