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Washington 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 / $149.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $149.83 / $282.77
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.75 / $166.34 / $623.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.28 / $124.28 / $176.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.66 / $164.66 / $526.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $164.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $120.95 / $302.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.15 / $127.50 / $129.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.34 / $166.34 / $166.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.74 / $158.02 / $174.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.50 / $112.75 / $124.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.28 / $124.28 / $124.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $166.13 / $176.42