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Missouri 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
$149.83 / $185.08 / $230.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.40 / $149.83 / $179.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.25 / $249.93 / $386.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.34 / $166.34 / $166.34
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.83 / $176.27 / $623.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $176.27 / $177.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $176.27 / $177.89