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Massachusetts 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 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $147.91 / $501.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $354.81 / $467.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $346.74
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $263.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $354.81 / $467.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $194.98 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $218.78