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Maine 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 $12–$120%50%$12Professionalmedian $13 · 10th–90th $5–$1050%10%20%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $17.78 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $13.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.30 / $14.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $22.39