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Vermont rates for HCPCS 90681

Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $164.81 / $217.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.66 / $176.27 / $271.16