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North Dakota 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 / $140.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $104.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $110.84 / $111.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $96.96 / $120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.65 / $105.58 / $302.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $108.70 / $118.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $113.01 / $116.10