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Giving an Extra Oral or Nasal Vaccine

Montana 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 $21 · 10th–90th $19$64,5650%50%10th90th$21Professionalmedian $19 · 10th–90th $3$370%10%20%10th90th$19$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
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$13.80
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.32
Typical High
$32.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$22.91
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$22.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$23.44
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$20.42