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Giving an Extra Oral or Nasal Vaccine

Iowa 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 $21 · 10th–90th $4$760%10%10th90th$21Professionalmedian $17 · 10th–90th $4$520%5%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
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$25.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$17.38
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$30.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$20.42
Typical High
$34.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$28.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$26.92