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Utah 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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $30.20 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $17.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $21.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $16.98