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Kansas 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 $6 · 10th–90th $5–$90%20%10th90th$6Professionalmedian $8 · 10th–90th $3–$140%10%20%10th90th$8$5.0$10.0$20.0$50.0

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
$5.01 / $6.31 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $11.22
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.59 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $8.91 / $12.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $17.78 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $18.62