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Nebraska 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
$79.43 / $104.71 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $87.10 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $323.59 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $114.82 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $117.49 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $117.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $112.20 / $123.03