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Kansas 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
$100.67 / $120.80 / $130.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $130.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.97 / $129.58 / $132.90
BCBS
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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.54 / $115.00 / $123.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.54 / $116.61 / $118.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $121.23 / $123.29