---
title: 90482-90484 - Who Is Paying For The New Imms Admin?
description: Want to know who is paying for the 90482-90484 (stand-alone immunization counseling) and how much so far in 2026?  Look no further.
image: https://chipsblog.pcc.com/hubfs/AI-Generated%20Media/Images/The%20image%20shows%20a%20busy%20pediatrician%20coming%20out%20of%20an%20exam%20room%20where%20she%20has%20probably%20had%20a%20long%20discussion%20with%20an%20antivaccinating%20parent%20but%20still%20n.png
---

# 90482-90484 - Who Is Paying For The New Imms Admin?

March 10, 2026

[coding](https://chipsblog.pcc.com/tag/coding), [insurance](https://chipsblog.pcc.com/tag/insurance), [practice management](https://chipsblog.pcc.com/tag/practice-management), [rvu](https://chipsblog.pcc.com/tag/rvu), [vaccines](https://chipsblog.pcc.com/tag/vaccines), [aap](https://chipsblog.pcc.com/tag/aap)

As of January 1, 2026,  we get to enjoy three landmark CPT codes—**90482, 90483, and 90484**—specifically designed to capture the clinical effort involved in immunization counseling when a vaccine is *not* administered during the same visit (thank you to those at the [AAP](https://publications.aap.org/aapnews/news/33727/New-codes-pave-way-for-payment-for-immunization?autologincheck=redirected) who pushed for this). 

The money isn't huge and I suspect that these codes *feel* more common than they are, but who cares?  It's a CPT and RVUs that reflect real, cognitive work and time from your practice.  Here's the big question: who is paying?  I'll tell you.

As of last week, about *half* of our clients had billed one of these codes this year.  It began slowly, so many of them haven't been adjudicated.  But here's what I can tell you:

| **CPT** | **Avg Chg** | **Avg Ins Pmt** |
| --- | --- | --- |
| 90482 | $44.12 | $19.16 |
| 90483 | $62.23 | $29.44 |
| 90484 | $75.49 | $42.16 |

Perhaps just as importantly, here's a list (by state) of the payors who have paid for these codes:

| **State** | **Payor** |   | **State** | **Payor** |   | ** ** | **State** | **Payor** |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| **AL** | BCBS |   | **MI** | Aetna |   |   | **OK** | Other |
| **CA** | Adventist |   | **MI** | BCBS |   |   | **OR** | Cigna |
| **CA** | Aetna |   | **MI** | Cigna |   |   | **OR** | Medicaid |
| **CA** | Anthem BC |   | **MI** | HAP + McLaren |   |   | **OR** | Providence |
| **CA** | Blue Cross |   | **MI** | Medicaid |   |   | **OR** | UHC |
| **CA** | Blue Shield |   | **MI** | Priority Health |   |   | **OR** | UMR |
| **CA** | Cigna |   | **MI** | UHC |   |   | **PA** | Aetna |
| **CA** | SAG |   | **MO** | Cigna |   |   | **PA** | BC/BS |
| **CO** | Cigna |   | **NC** | Aetna |   |   | **PA** | Cigna |
| **CO** | CO Medicaid |   | **NC** | BCBS |   |   | **PA** | GHP |
| **CO** | RMHP CHP+ |   | **NC** | Cigna |   |   | **PA** | Highmark |
| **CT** | Aetna |   | **NC** | UHC |   |   | **PA** | UHC Healthcare CHIP |
| **CT** | BCBS |   | **NE** | Cigna |   |   | **PA** | UPMC |
| **CT** | Cigna |   | **NH** | Aetna |   |   | **SC** | BCBS |
| **DE** | Aetna |   | **NH** | BCBS |   |   | **TN** | BCBS |
| **DE** | BCBS |   | **NH** | Cigna |   |   | **TN** | BCBS MS |
| **DE** | Cigna |   | **NH** | Harvard Pilgrim |   |   | **TN** | Cigna |
| **DE** | Medicaid |   | **NH** | Medicaid |   |   | **TN** | Amerigroup |
| **DE** | Other |   | **NH** | METRA HEALTH |   |   | **TN** | Bluecare |
| **FL** | Aetna |   | **NH** | NH Healthy Families |   |   | **TN** | Other |
| **FL** | BCBS |   | **NH** | UHC |   |   | **TN** | UHC |
| **FL** | Cigna |   | **NJ** | Aetna |   |   | **TN** | UHC Community TN |
| **FL** | Meritain |   | **NJ** | BCBS |   |   | **TN** | Wellpoint TN |
| **FL** | UHC HMO |   | **NJ** | Cigna |   |   | **TX** | Aetna |
| **GA** | Aetna |   | **NJ** | Horizon BCBS |   |   | **TX** | BCBS |
| **GA** | Amerigroup Mcaid CMO |   | **NJ** | NJ Direct |   |   | **TX** | Cigna |
| **GA** | BCBS |   | **NJ** | UHC |   |   | **TX** | Community Health Choice |
| **GA** | CareSource |   | **NM** | BCBS |   |   | **TX** | IMS/UMC Team Choice |
| **GA** | Cigna |   | **NM** | BLUE Salud |   |   | **TX** | Preferred Administrators |
| **GA** | Medicaid |   | **NM** | Php Salud |   |   | **TX** | UHC |
| **GA** | Peachstate |   | **NV** | Aetna |   |   | **VA** | Aetna |
| **GA** | UHC |   | **NY** | Aetna |   |   | **VA** | Anthem |
| **ID** | Medicaid |   | **NY** | Cigna |   |   | **VA** | BCBS |
| **IL** | BCBS |   | **NY** | HealthFirst |   |   | **VA** | Cigna |
| **IL** | Cigna |   | **NY** | MVP |   |   | **VA** | Medicaid |
| **IL** | UHC |   | **NY** | UHC |   |   | **VI** | Cigna |
| **MD** | Aetna |   | **OH** | Aetna |   |   | **VT** | BCBS |
| **MD** | BCBS |   | **OH** | Anthem Medicaid |   |   | **VT** | Cigna |
| **MD** | Cigna |   | **OH** | BCBS |   |   | **VT** | UHC Community Plan AHCCCS |
| **MD** | MCO |   | **OH** | CareSource |   |   | **VT** | VHP |
| **MD** | Medicaid |   | **OH** | Cigna |   |   | **WA** | Aetna |
| **MD** | UHC |   | **OH** | Medicaid OH |   |   | **WA** | Cigna |
|   |   |   |   |   |   |   | **WA** | Medicaid |
|   |   |   |   |   |   |   | **WA** | Molina |
|   |   |   |   |   |   |   | **WA** | Premera BCBS |
|   |   |   |   |   |   |   | **WA** | Regence |
|   |   |   |   |   |   |   | **WA** | UHC |

A lot the usual suspects are, unusually, paying for these codes.  UHC, CIGNA, even some Medicaid programs.

What are you waiting for?  [Learn more from the AAP here](https://publications.aap.org/aapnews/news/33727/New-codes-pave-way-for-payment-for-immunization).

 

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