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Rotavirus Vaccine, Oral

Washington rates for HCPCS 90681

A vaccine that protects babies against rotavirus, a common virus that causes severe diarrhea and vomiting in young children. It is given as drops swallowed by mouth rather than as an injection, in a series of doses during the first months of life.

Facilitymedian $129 · 10th–90th $123$1780%20%10th90th$129Professionalmedian $170 · 10th–90th $148$4790%20%10th90th$170$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$501.19
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$123.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$50.12
Typical High
$363.08
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$128.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$123.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25