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Virginia 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 $15 · 10th–90th $5–$560%10%20%10th90th$15Professionalmedian $38 · 10th–90th $5–$910%10%10th90th$38$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$5.01 / $15.14 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $42.66 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.59 / $14.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $12.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $16.98 / $22.91
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $16.60 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $16.60 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $26.30