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North Carolina 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 $47 · 10th–90th $19–$3980%10%20%10th90th$47Professionalmedian $60 · 10th–90th $11–$1320%5%10th90th$60$5.0$20.0$100.0$500.0

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
$18.62 / $46.77 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $60.26 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $17.78 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.30 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $12.30
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.13 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11