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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
$149.83 / $149.83 / $328.39
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.83 / $158.82 / $214.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $147.02 / $161.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.79 / $104.79 / $116.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $151.90 / $155.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $176.27 / $176.42