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Giving an Extra Oral or Nasal Vaccine

Kansas 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 $9 · 10th–90th $6$170%20%40%10th90th$9Professionalmedian $9 · 10th–90th $3$140%20%10th90th$9$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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.03
Typical High
$9.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$18.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$8.91
Typical High
$12.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$18.62