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Arizona 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 $25 · 10th–90th $6–$470%10%10th90th$25Professionalmedian $66 · 10th–90th $13–$1380%10%10th90th$66$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $66.07 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $25.12 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $24.55 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $20.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $19.50