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Kansas 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 $12 · 10th–90th $8–$150%20%10th90th$12Professionalmedian $14 · 10th–90th $5–$740%10%10th90th$14$5.0$10.0$20.0$50.0$100.0

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
$5.50 / $8.32 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $13.49 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.59 / $17.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.02 / $18.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.18 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $18.62