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Hawaii 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)

Professionalmedian $13 · 10th–90th $3–$220%10%20%10th90th$13$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $18.20
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $21.88 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.85 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $15.49
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $13.80