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Idaho 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
$147.91 / $151.36 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $141.25 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $151.36
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $154.88 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $177.83 / $186.21