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Giving an Extra Oral or Nasal Vaccine

North Dakota 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.

Facilitymedian $7 · 10th–90th $5$80%50%10th90th$7Professionalmedian $25 · 10th–90th $5$330%10%10th90th$25$5.0$10.0$20.0

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
$5.01
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$24.55
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$27.54
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.88
Typical High
$22.39
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$22.91
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$30.20