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Oklahoma 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
$161.82 / $161.82 / $161.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $161.82 / $164.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.80 / $164.66 / $164.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.79 / $167.46 / $623.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.66 / $173.48 / $176.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.66 / $169.22 / $176.42