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Oral Adenovirus Vaccine, Type 4

Nationwide rates for HCPCS 90476

A live vaccine against adenovirus type 4, one of the viruses that causes respiratory illness, supplied as a capsule to be swallowed. It is used in settings where outbreaks of this infection spread rapidly among people living in close quarters. This covers the vaccine product itself; giving it is charged separately.

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $35$4680%50%10th90th$49Professionalmedian $35 · 10th–90th $1$1120%10%10th90th$35$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$16.60
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$70.79
Typical High
$95.50