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Oral Adenovirus Vaccine, Type 4

Iowa 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 $89 · 10th–90th $89$890%50%100%$89Professionalmedian $24 · 10th–90th $14$1170%10%20%10th90th$24$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13