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New Mexico rates for HCPCS 90743

Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.51 / $86.51 / $86.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $86.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $88.61 / $88.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $32.47 / $80.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $86.51 / $86.65