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Ohio rates for HCPCS 90473

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

Facilitymedian $23 · 10th–90th $3–$1070%10%20%10th90th$23Professionalmedian $7 · 10th–90th $3–$410%20%10th90th$7$0.2$1.0$5.0$20.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $23.44 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.78 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $33.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $109.65 / $199.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $23.99 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $173.78 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $24.55