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Louisiana 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
$147.91 / $147.91 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $147.91 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $120.23 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $169.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $125.89 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $165.96 / $186.21