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Colorado 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 $21 · 10th–90th $11–$510%20%10th90th$21Professionalmedian $17 · 10th–90th $3–$290%5%10%10th90th$17$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $16.98 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.14 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $30.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $22.91