go back

Giving an Extra Oral or Nasal Vaccine

South Dakota 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 $7 · 10th–90th $4$100%20%10th90th$7Professionalmedian $20 · 10th–90th $5$330%10%20%10th90th$20$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$18.20
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$10.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$26.92
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$20.89
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.89
Typical High
$28.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78