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New Jersey 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
$120.23 / $131.83 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $165.96 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $165.96 / $165.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $186.21