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New Mexico rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $111.26 / $111.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $47.64 / $56.76
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
$24.89 / $33.18 / $35.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $32.50 / $50.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $53.53 / $53.68