go back

North Dakota 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 / $149.83 / $149.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $149.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.34 / $158.60 / $160.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $140.13 / $173.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.65 / $149.83 / $449.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.66 / $161.72 / $176.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $161.72 / $166.13