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Kansas 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 / $179.80 / $193.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $161.82 / $193.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.38 / $187.40 / $192.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.27 / $176.27 / $176.27
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.79 / $161.52 / $184.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.02 / $173.48 / $176.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.02 / $173.48 / $176.42