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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
$151.36 / $151.36 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $123.03 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $173.78 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $165.96 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $281.84 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $186.21