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Alaska rates for HCPCS 90681

Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $224.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.38 / $321.38 / $321.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $147.02 / $147.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.88 / $232.88 / $365.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.88 / $321.38 / $548.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $79.33 / $164.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $147.02 / $176.27