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Utah rates for HCPCS 90472

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $23.99 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.47 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $19.05 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $19.05 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $16.98