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Nationwide rates for HCPCS 90474

Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Facilitymedian $16 · 10th–90th $5$560%10%10th90th$16Professionalmedian $13 · 10th–90th $3$350%10%10th90th$13$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$3.39 / $16.98 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $12.88 / $35.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.30 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $38.90 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.79 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $26.92