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Georgia 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 $229 · 10th–90th $5–$3630%20%10th90th$229Professionalmedian $45 · 10th–90th $7–$1000%5%10th90th$45$5.0$20.0$100.0$500.0

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
$5.01 / $229.09 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $51.29 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.33 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $18.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.48 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.51 / $9.77
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,258.93 / $1,258.93
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
$10.96 / $15.14 / $24.55