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Virginia 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 / $254.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $233.73
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.30 / $93.02 / $176.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $176.27 / $228.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.56 / $167.46 / $216.41
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.56 / $167.46 / $216.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $176.27 / $185.08