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Giving an Extra Oral or Nasal Vaccine

Arizona 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.

Facilitymedian $26 · 10th–90th $5$540%10%10th90th$26Professionalmedian $16 · 10th–90th $3$590%10%10th90th$16$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
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$18.20
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$33.11
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$20.42
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.71
Typical High
$12.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.48
Typical High
$25.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$14.13