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Montana 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
$48.60 / $48.60 / $48.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $54.60 / $105.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $13.67 / $32.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $16.96 / $22.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $21.77