go back

Maine rates for HCPCS 90681

Rv1 Vaccine 2 Dose Schedule Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $164.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.57 / $454.57 / $454.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.96 / $149.96 / $149.96
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $173.35 / $265.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $216.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $147.02 / $257.29