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Giving an Extra Oral or Nasal Vaccine

Texas 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 $30 · 10th–90th $5$630%5%10th90th$30Professionalmedian $10 · 10th–90th $5$250%20%10th90th$10$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.96
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$35.48
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$14.79
Typical High
$44.67
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$22.39
Christus
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$14.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$21.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$11.22
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.32
Typical High
$14.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$14.13