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Giving an Extra Oral or Nasal Vaccine

Oklahoma 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 $5 · 10th–90th $5$180%50%90th$5Professionalmedian $12 · 10th–90th $5$160%10%20%10th90th$12$5.0$10.0$20.0$50.0

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
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.49
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.77
Typical High
$12.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.75
Typical High
$25.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$17.38
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.96
Typical High
$13.49