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Giving an Extra Oral or Nasal Vaccine

New Hampshire 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 $13 · 10th–90th $3$260%20%10th90th$13Professionalmedian $12 · 10th–90th $3$260%20%10th90th$12$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
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$12.59
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$16.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$23.99
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.18
Typical High
$31.62