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New Mexico rates for HCPCS 90750

Hzv Zoster Vacc Recombinant Adjuvanted Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.04 / $287.14 / $528.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.40 / $219.81 / $258.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.85 / $159.60 / $183.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.90 / $241.37 / $241.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.53 / $258.61 / $258.61