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Rhode Island 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $19.50 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.84 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.23 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.48 / $19.95