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Giving an Extra Oral or Nasal Vaccine

Hawaii 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.

Professionalmedian $15 · 10th–90th $13$220%20%10th90th$15$5.0$10.0$20.0

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
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$18.20
HMSA
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$27.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$15.49
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$13.80