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Wisconsin 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 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $72.44 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.45 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.62 / $30.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $9.77 / $24.55
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $10.47 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.22 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $20.42 / $30.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $79.43 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.49 / $40.74