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Giving an Extra Oral or Nasal Vaccine

West Virginia 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 $23 · 10th–90th $21$980%10%20%10th90th$23Professionalmedian $25 · 10th–90th $3$270%20%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
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$24.55
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$60.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$19.95
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.47
Typical High
$19.50