go back

Maine 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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $15.36 / $21.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.66 / $13.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $17.17 / $26.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $19.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $17.18 / $22.22