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Wisconsin rates for HCPCS 90473

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

Facilitymedian $3 · 10th–90th $3–$720%50%90th$3Professionalmedian $29 · 10th–90th $3–$650%5%10%10th90th$29$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
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $28.84 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $35.48 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $18.62 / $34.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $31.62 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $24.55 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $57.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $104.71 / $104.71
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $46.77
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $25.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $21.88 / $42.66