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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
$5.01 / $7.08 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $10.47 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.02 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $35.48 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.59 / $15.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.08 / $21.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $10.96 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.32 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.30 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $14.13