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West 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 $76 · 10th–90th $32–$1000%10%20%10th90th$76Professionalmedian $63 · 10th–90th $19–$1050%10%10th90th$63$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$31.62 / $75.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $63.10 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $12.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.14 / $40.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $19.50