go back

Connecticut 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 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $147.91 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $173.78