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Nebraska 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 / $176.27 / $217.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $149.83 / $233.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.43 / $182.63 / $371.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $57.95 / $57.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $164.66 / $173.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.52 / $284.68 / $623.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $161.72 / $176.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $111.56 / $148.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.33 / $111.56 / $157.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $161.72 / $176.27