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Iowa 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 $7 · 10th–90th $4–$600%20%40%10th90th$7Professionalmedian $69 · 10th–90th $13–$1660%10%10th90th$69$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
$3.98 / $3.98 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $70.79 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.59 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $17.38 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $33.88