Price of Rotavirus Vaccine, Live, Oral Suspension at NYU Langone

Last Updated: 2024-07-01

NYU Langone

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About Rotavirus Vaccine, Live, Oral Suspension

Service Codes: LOCAL 5010003, CPT 90681

This procedure involves administering a live rotavirus vaccine orally to protect infants and young children from rotavirus infections, which can cause severe diarrhea and dehydration.

Pricing Overview

Cash Price ?

$230.39

Median Price ?

$168.37

Price Range ?

$0.52 - $1,091.33

Insurance Plan Prices

Insurance Provider Plan Type Price
UnitedHealthcare HMO $606.30
Anthem BCBS Optum $143.90
Fidelis Care Silver for Children (Exchange) $168.37
MultiPlan PHP Healthcare (Champus) $945.82
BCBS (Out of State) PPO $143.90
MultiPlan Administrative Concepts $945.82
Anthem BCBS HealthPlus Family Health Plus (Deprecated) $93.54
AgeWell (Deprecated) Medicaid Managed Care $49.52
Fidelis Care Catastrophic (Exchange) $168.37
Blue Cross Blue Shield Blue Access PPO (Large Group) $143.90
EmblemHealth GHI EPO $970.07
EmblemHealth GHI Behavioral Management Program $970.07
Anthem BCBS HealthPlus SOMOS Essential Plan 3 $98.21
Blue Cross Blue Shield PPO $143.90
Fidelis Care Platinum for Children (Exchange) $168.37
Blue Cross Blue Shield Pathway X Enhanced $112.24
EmblemHealth Enhanced Care (Medicaid) SNP HARP (SOMOS) $98.21
Anthem BCBS HealthPlus Essential Plan 1, 200-250 $187.07
Blue Cross Blue Shield Blue Priority HMO $143.90
UnitedHealthcare POMCO (UMR) $945.82
BCBS (Out of State) PPO (No Suitcase Logo) $143.90
Partners Health Plan Medicaid $49.52
Healthfirst Personal Wellness Plan (HARP) $49.52
EmblemHealth HIP SmartStart $885.19
UnitedHealthcare - Oxford Optum Health $606.30
Blue Cross Blue Shield Pathway $112.24
EmblemHealth Vytra HMO $885.19
MultiPlan PPO $945.82
Blue Cross Blue Shield Blue Priority PPO $143.90
Blue Cross Blue Shield Blue Access HMO (Small Group) $143.90
UnitedHealthcare - Oxford Liberty $606.30
Anthem BCBS HealthPlus Medicaid $93.54
EmblemHealth Healthcare Partners Essential Plans $112.24
EmblemHealth HIP $885.19
BCBS (Out of State) EPO (No Suitcase Logo) $143.90
MultiPlan Kaiser Permanente $945.82
Anthem BCBS HealthPlus Essential Plan 2 $187.07
1199SEIU Funds Home Care Benefit Fund $825.73
Fidelis Care Essential Plan 3 $115.99
BCBS (Out of State) HMO $143.90
Cigna Premier Plus $580.59
BCBS (Out of State) EPO (Suitcase Logo) $143.90
First Health Commercial HMO $1,018.58
EmblemHealth Healthcare Partners Essential Plan 3-4 $93.54
Fidelis Care Silver (Exchange) $168.37
MultiPlan US Life Insurance Co $945.82
EmblemHealth Enhanced Care (Medicaid) $93.54
UnitedHealthcare POS $606.30
Cigna Indemnity $580.59
Blue Cross Blue Shield EPO $143.90
MetroPlus Essential Plan 1-2, 200-250 $93.54
Blue Cross Blue Shield HMO $143.90
EmblemHealth Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) $98.21
Cigna LifeSOURCE $580.59
Blue Cross Blue Shield Blue Connection $143.90
Horizon BCBS Direct $143.90
EmblemHealth HIP Healthcare Partners HMO $885.19
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $970.07
Blue Cross Blue Shield Blue Priority EPO (Small Group) $143.90
MetroPlus Essential Plan 2 $93.54
Blue Cross Blue Shield Healthy New York $143.90
UnitedHealthcare - Oxford Metro $606.30
UnitedHealthcare Choice $606.30
Cigna Cigna Managed Care/POS $580.59
EmblemHealth HIP Access I $885.19
Blue Cross Blue Shield Open Access HMO (Home-based Only) $143.90
MultiPlan Humana Health Plan $945.82
MultiPlan Screen Actors Guild $945.82
MultiPlan Meritain Health $945.82
Anthem BCBS HealthPlus Special Needs Plan (SNP) $93.54
1199SEIU Funds Member Choice Home Care Select $825.73
EmblemHealth Essential Plan 1, 200-250 $112.24
MultiPlan Principal Financial Group $945.82
Cigna MVP-Cigna Network $580.59
MultiPlan Paramount Insurance $945.82
Anthem BCBS HealthPlus Essential Plan 3 $93.54
Blue Cross Blue Shield Hotel Trades Council $143.90
Aetna Indemnity $12.13
Fidelis Care Gold for Children (Exchange) $168.37
EmblemHealth CMO Essential Plan 1 $112.24
EmblemHealth HIP Optum Health $885.19
Anthem BCBS Empire Plan, Value Options $143.90
MultiPlan Guardian Life Insurance Co $945.82
BCBS (Out of State) POS (No Suitcase Logo) $143.90
Anthem BCBS HealthPlus SOMOS Essential Plan 1 & 200-250 $126.28
EmblemHealth HIP Montefiore $885.19
MetroPlus Essential Plan 1 $93.54
EmblemHealth GHI PPO $970.07
Blue Cross Blue Shield Blue Access gEPO (Small Group) $143.90
Cigna Tufts Health Plan $580.59
BCBS (Out of State) EPO $143.90
1199SEIU Funds PPO $825.73
Humana All Commercial Plans $945.82
EmblemHealth CMO Essential Plan 3 $93.54
MultiPlan Diversified Admin Corp $945.82
EmblemHealth HIP EPO $885.19
EmblemHealth GHI HMO $970.07
MultiPlan Global Excel Management $945.82
Anthem BCBS HealthPlus All Exchange Plans $112.24
EmblemHealth GHI composite $970.07
UnitedHealthcare - Oxford Freedom $606.30
EmblemHealth BCBS GHI Composite $143.90
EmblemHealth HIP HMO $885.19
Cigna Evernorth Behavioral Health $580.59
Blue Cross Blue Shield Blue Access gEPO (Large Group) $143.90
MetroPlus Medicaid Managed Care $93.54
EmblemHealth Essential Plan 3 $93.54
EmblemHealth American Plan Administrators c/o H.D.A $970.07
Partners Health Plan Medicaid MLTC $49.52
Blue Cross Blue Shield Blue Access EPO (Small Group) $143.90
EmblemHealth Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) $126.28
UnitedHealthcare Independent $606.30
Anthem BCBS HealthPlus Essential Plan 4 $93.54
EmblemHealth IUOE Local 14-14B $970.07
EmblemHealth HIP compre health $885.19
EmblemHealth American Plan Administrators $970.07
UnitedHealthcare PPO $606.30
MultiPlan Healthnet of California $945.82
Blue Cross Blue Shield Child Health Plus (CHP) $93.54
MultiPlan PHCS $945.82
Three Rivers All Plans (Home-based Only) $1,091.33
EmblemHealth CMO Essential Plan 4 $93.54
EmblemHealth Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) $126.28
BCBS (Out of State) Indemnity $143.90
MetroPlus Essential Plan 4 $93.54
MultiPlan Teamsters Allied Benefits $945.82
EmblemHealth Enhanced Care (Medicaid) (SOMOS) $98.21
Cigna HMO $580.59
Carelon Behavioral Health Medicaid Managed Care (Home-based Only) $49.52
Blue Cross Blue Shield Federal Program $143.90
Anthem BCBS HealthPlus SOMOS Child Health Plus (CHP) $98.21
UnitedHealthcare Optum Health $606.30
UnitedHealthcare Student Resources $606.30
MultiPlan QualCare Inc $945.82
EmblemHealth Healthcare Partners Essential Plan 1-2 $112.24
VNS Health MLTC (Medicaid) $49.52
Blue Cross Blue Shield Indemnity $143.90
MultiPlan Fiserv Health $945.82
Maksin Group Consolidated Health Plan (Home-based only) $580.59
Fidelis Care Native American (Exchange) $168.37
Better Health Plan All Plans $1,018.58
EmblemHealth Enhanced Care (Medicaid) Montefiore $93.54
BCBS (Out of State) PPO (Suitcase Logo) $143.90
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $93.54
VNS Health SelectHealth (Medicaid) $49.52
MultiPlan Nippon Life $945.82
Anthem BCBS HealthPlus SOMOS Essential Plan 2 $126.28
UnitedHealthcare Choice (NY Power Authority) $606.30
Fidelis Care Bronze for Children (Exchange) $168.37
EmblemHealth Essential Plan 4 $93.54
EmblemHealth Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) $98.21
UnitedHealthcare Navigate $606.30
Fidelis Care Platinum (Exchange) $168.37
MetroPlus Gold $0.52
Fidelis Care Silver 250 (Exchange) $168.37
Anthem BCBS All Plans $143.90
MultiPlan Global Health Management $945.82
Cigna PPO $580.59
Blue Cross Blue Shield UniCare $143.90
First Health PPO $945.82
Fidelis Care Essential Plan 2 $201.10
UnitedHealthcare Charter $606.30
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $112.24
EmblemHealth Enhanced Care (Medicaid) Child Health Plus (SOMOS) $98.21
UnitedHealthcare Golden Rule Insurance $606.30
Fidelis Care Gold (Exchange) $168.37
MetroPlus GoldCare 2 $0.52
EmblemHealth Healthcare Partners Essential Plan 3 $93.54
BCBS (Out of State) POS (Suitcase Logo) $143.90
BCBS (Out of State) HMO (No Suitcase Logo) $143.90
Anthem BCBS HealthPlus SOMOS Special Needs HARP $98.21
Fidelis Care Medicaid Managed Care $115.99
Blue Cross Blue Shield POS $143.90
EmblemHealth HIP compre health epo $885.19
Anthem BCBS HealthPlus SOMOS ny medicaid $98.21
UnitedHealthcare POMCO (UMR) $606.30
Blue Cross Blue Shield Global Transplants $143.90
Anthem BCBS HealthPlus Child Health Plus (CHP) $93.54
Anthem BCBS HealthPlus SOMOS Essential Plan 4 $98.21
MultiPlan Mutual of Omaha $945.82
Blue Cross Blue Shield Blue Access EPO (Large Group) $143.90
EmblemHealth HIP Access II $885.19
Fidelis Care Bronze (Exchange) $168.37
Fidelis Care Essential Plan 1 $201.10
UnitedHealthcare Choice (North Shore - LIJ) $606.30
EmblemHealth Bridge $885.19
EmblemHealth CMO Essential Plan 2 $112.24
Fidelis Care Essential Plan 4 $115.99
EmblemHealth HIP POS $885.19
Cigna NALC PPO $580.59
Blue Cross Blue Shield Open Access PPO (Home-based Only) $143.90
MultiPlan PHCS Director Guild $945.82
Cigna Open Access $580.59
Fidelis Care Child Health Plus (CHP) $115.99
MultiPlan AXA Global Insurance $945.82
Cigna Open Access PPO $580.59
Blue Cross Blue Shield Blue Access EPO (Large Group) (NY LI Local 1199SEIU) $143.90
MultiPlan Capital District Physicians Health Plan $945.82
MetroPlus Child Health Plus (CHP) $93.54
EmblemHealth Essential Plan 2 $112.24
Cigna Great West HMO $580.59
EmblemHealth HIP Child Health Plus $93.54
MetroPlus Essential Plan 3-4 $93.54
UnitedHealthcare Core $606.30
EmblemHealth WLNY-TV $970.07
Cigna Wellfleet Student $580.59
EmblemHealth Healthcare Partners Essential Plan 4 $93.54
UnitedHealthcare EPO $606.30
EmblemHealth HIP Long Island College Hospital (LICH) $885.19
Health Net PPO $945.82
MultiPlan PHCS Savility $945.82
Blue Cross Blue Shield Pathway Enhanced $112.24
MetroPlus Essential Plan 3 $93.54
EmblemHealth Healthcare Partners Essential Plan 2 $112.24
Cigna Great West PPO $580.59
BCBS (Out of State) HMO (Suitcase Logo) $143.90
Cigna Open Access HMO $580.59
Blue Cross Blue Shield PPO/EPO (Small Group) $143.90
BCBS (Out of State) POS $143.90
EmblemHealth HIP PPO $885.19
Blue Cross Blue Shield Local 32 BJ $143.90
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