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Illinois rates for HCPCS 90680

Rv5 Vaccine 3 Dose Schedule Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $104.67 / $207.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $113.38 / $172.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.00 / $408.81 / $1,418.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.61 / $119.61 / $119.61
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $23.86 / $205.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.64 / $19.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $17.54 / $87.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $121.23 / $123.29