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Texas 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
$5.00 / $5.00 / $30.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.00 / $16.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $35.67 / $66.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $11.27 / $12.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $12.28 / $15.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $70.00 / $70.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $11.10 / $17.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $11.27 / $11.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $11.10 / $20.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $12.39 / $17.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.01 / $19.01 / $19.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $11.69 / $14.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $9.93 / $15.80