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Indiana 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)

Facilitymedian $11 · 10th–90th $3–$420%20%10th90th$11Professionalmedian $17 · 10th–90th $3–$260%10%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $16.98 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $19.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $19.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $17.38