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New Jersey 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 $32 · 10th–90th $5–$320%50%10th$32Professionalmedian $45 · 10th–90th $5–$1070%5%10%10th90th$45$5.0$20.0$100.0$500.0$2.0K

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 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $45.71 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $17.38
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,309.57 / $6,309.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.13 / $19.95