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New Mexico rates for HCPCS 90743

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

Facilitymedian $115 · 10th–90th $76–$1150%50%10th$115Professionalmedian $79 · 10th–90th $76–$890%20%40%10th90th$79$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $162.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $75.86 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $83.18 / $87.10