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New Mexico rates for HCPCS 91304

Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $191.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $191.91 / $211.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.67 / $238.23 / $238.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.54 / $188.55 / $188.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.24 / $202.02 / $202.02