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Kentucky 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–$160%20%10th90th$11Professionalmedian $5 · 10th–90th $3–$160%20%10th90th$5$2.0$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 / $4.27 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.24 / $8.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $17.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.96 / $13.80