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Tennessee rates for HCPCS 90681

Rv1 Vaccine 2 Dose Schedule Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.83 / $149.83 / $247.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $202.50
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.46 / $352.54 / $623.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $166.13 / $176.27