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Virginia 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 / $177.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $104.67 / $163.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.80 / $100.80 / $100.80
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 / $115.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.30 / $93.02 / $123.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.53 / $123.14 / $159.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.10 / $112.51 / $151.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $112.51 / $151.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $123.14 / $129.30