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New York 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
$3.00 / $17.78 / $34.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.00 / $35.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.50 / $21.78
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $11.94 / $23.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $20.30 / $319.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $20.21 / $37.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.85 / $13.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $28.24 / $28.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $14.50 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $14.53 / $46.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $12.93 / $17.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $12.93 / $17.43