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Rotavirus Vaccine, Oral

Louisiana rates for HCPCS 90681

A vaccine that protects babies against rotavirus, a common virus that causes severe diarrhea and vomiting in young children. It is given as drops swallowed by mouth rather than as an injection, in a series of doses during the first months of life.

Facilitymedian $166 · 10th–90th $148$1660%50%10th$166Professionalmedian $148 · 10th–90th $138$1620%50%10th90th$148$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$186.21