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Giving an Extra Oral or Nasal Vaccine

Alabama rates for HCPCS 90474

The service of giving an additional vaccine by mouth or as a nasal spray during the same visit, covering the act of giving the dose and recording it. It applies when more than one vaccine is given at a single appointment and is billed in addition to the first vaccine given that day. It covers the administration rather than the vaccine product itself.

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $52$850%20%10th90th$63Professionalmedian $11 · 10th–90th $3$150%50%10th90th$11$5.0$10.0$20.0$50.0$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
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$10.96
Typical High
$15.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$12.88