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Wisconsin 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 $28 · 10th–90th $3–$600%20%10th90th$28Professionalmedian $25 · 10th–90th $4–$450%10%10th90th$25$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $28.18 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $25.12 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $25.70 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $13.49 / $25.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $24.55 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $40.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $79.43 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $38.02