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New Mexico rates for HCPCS 90747

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.08 / $173.08 / $173.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $154.15 / $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
$124.49 / $144.06 / $165.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $125.23 / $125.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.32 / $144.32 / $161.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $173.08 / $173.38