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New Mexico 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 $39 · 10th–90th $13–$2140%20%10th90th$39Professionalmedian $42 · 10th–90th $5–$1260%5%10%10th90th$42$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$13.18 / $13.18 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $43.65 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $138.04 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $23.44