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New Mexico rates for HCPCS 90756

Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.08 / $34.08 / $55.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $31.00 / $42.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.19 / $125.35 / $204.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $38.18 / $40.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $31.94 / $31.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $34.08 / $38.86