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Giving an Extra Oral or Nasal Vaccine

Oregon 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 $23 · 10th–90th $14$260%50%10th90th$23Professionalmedian $16 · 10th–90th $3$650%5%10%10th90th$16$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
$12.88
Median
$22.39
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$14.45
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$28.84
Typical High
$30.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$38.90
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$23.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$30.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$25.12
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$32.36