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Giving an Extra Oral or Nasal Vaccine

Kentucky 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$170%20%10th90th$11Professionalmedian $7 · 10th–90th $3$220%10%20%10th90th$7$2.0$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
$3.02
Median
$4.27
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.01
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.24
Typical High
$8.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.96
Typical High
$13.80