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Massachusetts 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $45.36 / $99.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $133.25 / $445.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $31.04 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.92 / $22.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.88 / $34.22 / $44.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $17.86 / $18.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $9.85 / $13.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $16.19 / $72.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $32.90 / $98.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $15.23 / $23.17
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $19.05 / $307.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $15.04 / $20.74