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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
$151.36 / $151.36 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $186.21