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Missouri 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 $13 · 10th–90th $3–$330%10%20%10th90th$13Professionalmedian $16 · 10th–90th $3–$260%10%20%10th90th$16$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 / $9.12 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $18.20 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.47 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.75 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $18.62 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $23.44