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Arkansas 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 / $151.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $126.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.82 / $98.82 / $98.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $98.82 / $98.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.43 / $115.07 / $115.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $102.74 / $123.14