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New York rates for HCPCS 90473

Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)

Facilitymedian $18 · 10th–90th $4–$2040%10%10th90th$18Professionalmedian $17 · 10th–90th $3–$510%10%10th90th$17$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3.98 / $19.05 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $48.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $77.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $21.88 / $134.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $36.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.79 / $18.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $154.88 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $51.29
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $22.91
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.49 / $22.91