go back

West 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
$58.28 / $85.54 / $244.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $104.67 / $118.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.81 / $55.57 / $80.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $124.77 / $124.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.67 / $115.07 / $115.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.07 / $150.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $131.97 / $165.55
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.79 / $136.79 / $136.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $123.14 / $131.19