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Washington, DC 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 / $136.03 / $243.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $104.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.43 / $118.43 / $118.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.12 / $153.12 / $153.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $123.14 / $147.77