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Minnesota 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 $28 · 10th–90th $14–$590%10%10th90th$28Professionalmedian $54 · 10th–90th $13–$1510%5%10th90th$54$5.0$10.0$20.0$50.0$100.0$200.0

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 / $5.01 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $66.07 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $38.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $58.88
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.50 / $27.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $35.48