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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $7.00 / $30.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $7.00 / $25.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $11.64 / $11.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.06 / $57.05 / $61.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $11.81 / $15.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.86 / $16.53 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $12.56 / $23.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $15.66 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $15.60 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $14.37 / $22.43