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Kentucky 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 $31 · 10th–90th $5–$830%10%10th90th$31Professionalmedian $10 · 10th–90th $5–$480%20%10th90th$10$0.0$0.1$0.5$2.0$10.0$50.0

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 / $34.67 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.77 / $11.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $25.12 / $45.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.30 / $17.78