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Arkansas rates for HCPCS 90681

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $120.23 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $154.88 / $186.21