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Nebraska 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 $68 · 10th–90th $18–$1320%20%10th90th$68Professionalmedian $60 · 10th–90th $14–$1450%10%10th90th$60$0.0$0.1$0.5$2.0$10.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $61.66 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.45 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $75.86 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $25.70 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $31.62