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Missouri 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 $22 · 10th–90th $5–$760%10%20%10th90th$22Professionalmedian $55 · 10th–90th $10–$1150%5%10%10th90th$55$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 / $22.39 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $57.54 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $25.12