APC T1239
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Rotavirus vacc 2 dose ora
Low
$130
Average
$136
Median
$137
High
$139
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 81 | $135 | $134 | $5 | 4% | — | $104 – $139 |
| 2 | Caresource fee schedule · outpatient | 15 | $139 | $139 | — | — | — | $139 – $139 |
| 3 | Tricare case rate · outpatient · +1 other terms | 7 | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $139 | $139 | — | — | — | $139 – $139 |
← Hospitals reporting APC T1239 · Snapshot 20261111T120946Z-9134e7f7