Rotavirus vaccine, oral, 3-dose series

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rv5 Vaccine 3 Dose Schedule Live for Oral Use

Payers reporting CPT 90680

Payer pricing summary

Low

$26

Average

$172

Median

$152

High

$507

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +14 other terms	27	$99	$106	$38	36%	394	$96 – $330
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	470	$195	$188	$107	57%	2–20	$0 – $740
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	242	$231	$260	$162	62%	2–20	$0 – $921
4	Anthem fee schedule · outpatient · +22 other terms	79	$128	$147	$85	58%	2–20	$1 – $596
5	Cigna fee schedule · outpatient · +23 other terms	246	$177	$312	$207	66%	—	$0 – $947
6	Humana fee schedule · outpatient · +21 other terms	183	$105	$332	$728	219%	—	$3 – $8.3k
7	Aetna fee schedule · outpatient · +26 other terms	127	$121	$350	$890	254%	—	$0 – $8.4k
8	Medica fee schedule · outpatient · +15 other terms	49	$140	$170	$104	61%	—	$16 – $390
9	Molina facility · case rate · outpatient · +24 other terms	37	$88	$59	$46	78%	—	$11 – $175
10	MultiPlan fee schedule · outpatient · +17 other terms	31	$345	$303	$220	73%	—	$1 – $1.0k
11	Caresource fee schedule · outpatient · +11 other terms	30	$105	$106	$1	1%	—	$103 – $107
12	Bcbs Tx fee schedule · outpatient · +2 other terms	26	$437	$414	$127	31%	—	$30 – $674
13	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	24	$12	$25	$55	220%	—	$10 – $266
14	Highmark facility · fee schedule · outpatient · +14 other terms	23	$12	$108	$127	118%	—	$11 – $609
15	Regence facility · fee schedule · both · +14 other terms	23	$99	$127	$65	51%	—	$1 – $333
16	Premera facility · fee schedule · both · +9 other terms	22	$99	$123	$64	52%	—	$1 – $333
17	Carefirst facility · fee schedule · both · +8 other terms	21	$99	$127	$61	48%	—	$99 – $333
18	Excellus facility · fee schedule · both · +10 other terms	21	$99	$123	$57	46%	—	$99 – $333
19	Tricare facility · fee schedule · outpatient · +16 other terms	17	$346	$1.8k	$8.5k	474%	—	$0 – $50k
20	Kaiser facility · fee schedule · both · +18 other terms	15	$99	$88	$77	88%	—	$0 – $333
21	Aetna Better Health fee schedule · outpatient · +13 other terms	14	$93	$56	$49	87%	—	$0 – $101
22	Bcbs La fee schedule · outpatient · +2 other terms	14	$113	$110	$4	4%	—	$103 – $113
23	Medicaid fee schedule · outpatient · +12 other terms	14	$105	$109	$113	104%	—	$1 – $299
24	WellCare other · outpatient · +16 other terms	14	$83	$84	$25	29%	—	$45 – $196
25	Optum facility · case rate · outpatient · +18 other terms	13	$15	$21	$19	88%	—	$13 – $79

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