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North Carolina 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 $21 · 10th–90th $5–$310%10%20%10th90th$21Professionalmedian $15 · 10th–90th $4–$340%10%10th90th$15$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
$5.01 / $20.89 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $15.85 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.30 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43