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Rhode Island 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 $490 · 10th–90th $55–$8710%20%40%10th90th$490Professionalmedian $51 · 10th–90th $5–$1350%10%20%10th90th$51$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$169.82 / $489.78 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $51.29 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $30.20 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.41 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $19.95