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New Mexico rates for HCPCS 90759

Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $77.70 / $77.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $78.98 / $101.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.29 / $87.05 / $87.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.52 / $72.52 / $72.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $72.52 / $72.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.52 / $72.52 / $73.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $72.52 / $72.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $77.70 / $88.58