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Utah 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)

Facilitymedian $39 · 10th–90th $3–$390%50%10th$39Professionalmedian $5 · 10th–90th $3–$200%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.75 / $16.60
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $30.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $16.98