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North Carolina 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
$79.04 / $100.67 / $238.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.18 / $108.57 / $164.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.18 / $91.18 / $108.70
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 / $123.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $97.71 / $130.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.35 / $83.35 / $83.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $115.07 / $123.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.98 / $124.85 / $236.86