go back

Minnesota rates for HCPCS 90680

Rv5 Vaccine 3 Dose Schedule Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.67 / $104.67 / $214.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.75 / $125.00 / $178.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.93 / $100.67 / $221.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $100.67 / $100.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $305.77 / $372.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.96 / $115.46 / $121.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.27 / $279.04 / $350.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $96.00 / $134.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.13 / $118.43 / $232.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $108.70 / $129.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.58 / $113.01 / $152.38