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Michigan rates for HCPCS 90680

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

Facilitymedian $151 · 10th–90th $105$2140%20%10th90th$151Professionalmedian $120 · 10th–90th $91$2570%20%10th90th$120$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $109.65 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $218.78 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $114.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $354.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $128.82 / $199.53
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $123.03 / $128.82