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Iowa 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
$151.36 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $173.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $147.91 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $186.21
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91