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New Mexico rates for HCPCS 90739

Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.90 / $500.88 / $624.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.60 / $184.73 / $243.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.64 / $1,256.54 / $2,154.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.08 / $205.31 / $209.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.30 / $174.44 / $174.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $186.90 / $186.90