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Oklahoma 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
$108.72 / $108.72 / $113.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $113.04 / $115.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $115.07 / $115.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.29 / $114.16 / $431.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $116.61 / $118.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $121.23 / $123.29