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Massachusetts 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 $26 · 10th–90th $3$540%10%20%10th90th$26Professionalmedian $15 · 10th–90th $3$490%10%20%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $29.51 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $19.05 / $51.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $46.77
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $48.98
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $14.13 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $30.20
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $72.44 / $75.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $46.77
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $28.18
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.77 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $13.49 / $27.54