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New Hampshire 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 / $167.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $149.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.76 / $220.53 / $605.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.96 / $149.96 / $149.96
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $243.32 / $462.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $147.02 / $176.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $155.71 / $235.16