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Ohio 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 $79 · 10th–90th $9–$1150%20%10th90th$79Professionalmedian $43 · 10th–90th $7–$950%10%10th90th$43$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$8.51 / $79.43 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $45.71 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.51 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $20.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $25.12 / $37.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.96 / $19.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $16.60 / $38.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.49 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $29.51