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California 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
$149.83 / $149.83 / $149.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $164.81 / $392.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.15 / $180.68 / $211.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.37 / $176.27 / $301.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $99.00 / $193.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.46 / $167.46 / $413.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $255.00 / $518.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.46 / $352.54 / $623.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.32 / $164.66 / $214.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $164.66 / $164.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.31 / $476.69 / $476.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.43 / $176.27 / $341.81