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Maryland 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 $5 · 10th–90th $5–$50%50%100%$5Professionalmedian $40 · 10th–90th $6–$890%5%10th90th$40$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $39.81 / $89.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.76 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.02 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.47 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $19.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.47 / $13.80