go back

Michigan 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 $5–$300%20%10th90th$11Professionalmedian $13 · 10th–90th $3–$330%10%10th90th$13$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
$5.25 / $11.48 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $13.18 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $32.36 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.18 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $18.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $12.02 / $33.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $12.59 / $24.55
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $18.62
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
$8.13 / $10.96 / $15.14