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Nebraska 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $14.69 / $18.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $27.00 / $65.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.63 / $79.90 / $162.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $18.00 / $24.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.37 / $24.43 / $30.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $16.28 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $12.07 / $29.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $22.70 / $27.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $23.85 / $30.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $12.07 / $29.67