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Giving an Extra Oral or Nasal Vaccine

Rhode Island 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.

Facilitymedian $62 · 10th–90th $26$980%20%40%10th90th$62Professionalmedian $13 · 10th–90th $3$220%20%10th90th$13$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$12.88
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$19.95