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Nationwide rates for HCPCS 90461

Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code for primary procedure)

Facilitymedian $28 · 10th–90th $6$980%10%20%10th90th$28Professionalmedian $62 · 10th–90th $10$1410%20%10th90th$62$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $47.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $63.10 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $29.51