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California 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 $18 · 10th–90th $14–$460%20%10th90th$18Professionalmedian $69 · 10th–90th $14–$1480%10%10th90th$69$0.0$0.2$2.0$20.0$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
$10.00 / $38.90 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $69.18 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $15.49 / $38.90
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $13.80 / $25.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $28.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.38 / $79.43