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Tennessee 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 $81 · 10th–90th $9–$950%20%10th90th$81Professionalmedian $44 · 10th–90th $8–$1000%5%10%10th90th$44$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
$8.51 / $81.28 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $45.71 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.48 / $14.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $23.44