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Alaska 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $26.47 / $40.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.30 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $16.43 / $19.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.30 / $42.30 / $46.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $34.92 / $37.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $45.00 / $65.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.89 / $46.89 / $46.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $45.00 / $82.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $32.79 / $49.57