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Idaho rates for HCPCS 90680

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $115.23 / $172.50
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 / $115.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.67 / $110.95 / $149.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $102.74 / $113.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.36 / $96.36 / $148.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $135.44 / $138.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.10 / $123.29 / $123.29