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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)

Facilitymedian $10 · 10th–90th $5–$790%20%40%10th90th$10Professionalmedian $72 · 10th–90th $13–$1740%5%10%10th90th$72$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.01 / $5.01 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $74.13 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.62 / $30.90
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $9.77 / $24.55
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $10.47 / $33.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $32.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $79.43 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $43.65