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Giving an Extra Oral or Nasal Vaccine

Georgia 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 $13 · 10th–90th $10$150%20%10th90th$13Professionalmedian $11 · 10th–90th $3$260%10%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
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.88
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$12.02
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.33
Typical High
$21.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.51
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$39.81
Typical High
$46.77
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
$12.02
Typical High
$28.18