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Massachusetts 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 / $104.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.37 / $104.67 / $111.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.75 / $285.14 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.75 / $116.10 / $126.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.13 / $157.13 / $334.94
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $90.09 / $105.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.97 / $104.67 / $221.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.98 / $116.98 / $236.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $123.14 / $154.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $123.14 / $143.84