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Minnesota 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 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $147.91 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $467.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $446.68 / $524.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $131.83 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $218.78