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Giving an Extra Oral or Nasal Vaccine

Missouri 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 $17 · 10th–90th $3$330%20%10th90th$17Professionalmedian $11 · 10th–90th $3$190%20%10th90th$11$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
$13.80
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$10.72
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$12.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.47
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$20.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$18.62
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$17.38
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$25.12