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Wyoming rates for HCPCS 90680

Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.96 / $116.62 / $240.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $123.14 / $123.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.07 / $115.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.01 / $123.14 / $123.29