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New York 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
$3.29 / $34.11 / $122.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $48.00 / $99.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $13.83 / $23.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.04 / $27.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $14.31 / $319.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $14.78 / $26.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $9.69 / $18.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $12.04 / $40.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $14.53 / $34.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $9.44 / $17.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $10.21 / $18.63