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Giving an Extra Oral or Nasal Vaccine

Illinois 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 $17 · 10th–90th $3$380%20%10th90th$17Professionalmedian $13 · 10th–90th $3$340%10%10th90th$13$5.0$10.0$20.0$50.0$100.0$200.0

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
$3.02
Median
$16.98
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$12.88
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$64.57
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$21.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$34.67
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$19.05