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South Carolina 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 $40 · 10th–90th $13–$760%10%10th90th$40Professionalmedian $51 · 10th–90th $5–$950%10%10th90th$51$0.0$0.1$0.5$2.0$10.0$50.0

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
$13.18 / $39.81 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $52.48 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.24 / $8.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.59 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.30 / $18.20