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Idaho 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 $22 · 10th–90th $16$280%50%10th90th$22Professionalmedian $60 · 10th–90th $13$1260%10%10th90th$60$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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $64.57 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $15.85
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $23.99 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.32 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $23.44