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New Mexico rates for HCPCS 90740

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.16 / $235.16 / $235.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $180.86 / $368.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.44 / $676.30 / $1,102.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.41 / $193.89 / $193.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $125.23 / $125.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $152.69 / $219.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.79 / $235.16 / $235.16