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Giving an Extra Oral or Nasal Vaccine

Indiana 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.

Facilitymedian $11 · 10th–90th $3$420%20%10th90th$11Professionalmedian $13 · 10th–90th $3$220%20%10th90th$13$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
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.98
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$19.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$19.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.72
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$17.38