go back

Alabama rates for HCPCS 90680

Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.67 / $104.67 / $104.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $115.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.09 / $177.29 / $238.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $102.74 / $102.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.07 / $130.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $116.10 / $123.14