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Giving an Extra Oral or Nasal Vaccine

New Mexico 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 $129 · 10th–90th $18$2240%10%20%10th90th$129Professionalmedian $16 · 10th–90th $4$650%10%10th90th$16$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
$17.78
Median
$17.78
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$18.20
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.96
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$18.62