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Giving an Extra Oral or Nasal Vaccine

Wisconsin 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 $43 · 10th–90th $3$510%20%10th90th$43Professionalmedian $30 · 10th–90th $5$490%10%10th90th$30$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
$3.02
Median
$44.67
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$34.67
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$25.70
Typical High
$51.29
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$13.49
Typical High
$25.12
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$24.55
Typical High
$47.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$25.12
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$13.49
Typical High
$25.12
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Quartz
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$40.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$79.43
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$22.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Security Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$18.62
Security Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$38.02