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Giving an Extra Oral or Nasal Vaccine

Utah 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 $16 · 10th–90th $3$430%20%40%10th90th$16Professionalmedian $5 · 10th–90th $3$130%20%40%10th90th$5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$21.88
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.75
Typical High
$16.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.88
Typical High
$18.20