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Wisconsin 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)

Professionalmedian $45 · 10th–90th $13–$910%5%10th90th$45$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
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $46.77 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.45 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $31.62 / $53.70
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.79 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $52.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $43.65