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Montana rates for HCPCS 90681

Rv1 Vaccine 2 Dose Schedule Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.04 / $326.04 / $326.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $149.83 / $282.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.58 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.48 / $101.48 / $176.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.48 / $164.66 / $164.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.48 / $101.48 / $176.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.64 / $93.28 / $164.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.13 / $166.13 / $176.42