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Connecticut 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 $62 · 10th–90th $31–$3630%20%10th90th$62Professionalmedian $55 · 10th–90th $10–$1100%5%10%10th90th$55$10.0$20.0$50.0$100.0$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
$30.90 / $61.66 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $56.23 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $20.42
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $28.18