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Giving an Extra Oral or Nasal Vaccine

Washington, DC 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 $3 · 10th–90th $3$30%50%100%$3Professionalmedian $3 · 10th–90th $3$480%50%90th$3$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$14.79
Typical High
$33.11