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Pennsylvania 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)

Facilitymedian $10 · 10th–90th $3–$350%20%10th90th$10Professionalmedian $16 · 10th–90th $3–$460%10%10th90th$16$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $10.00 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $16.22 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $14.45
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.42 / $20.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $15.85
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $20.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $6.03 / $12.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $6.03 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $21.38