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Connecticut 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 $62 · 10th–90th $13–$720%20%10th90th$62Professionalmedian $17 · 10th–90th $3–$250%10%10th90th$17$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
$12.88 / $61.66 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $19.50 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $25.12 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $25.12
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.59 / $41.69