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Virginia 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 $15 · 10th–90th $3–$340%20%10th90th$15Professionalmedian $12 · 10th–90th $3–$250%10%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K

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 / $7.59 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $9.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $20.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.59 / $14.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $17.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $22.91
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $16.98 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.60 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.49 / $22.39