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Idaho rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Facilitymedian $69 · 10th–90th $40–$3980%10%10th90th$69Professionalmedian $78 · 10th–90th $78–$780%50%100%$78$20.0$50.0$100.0$200.0$500.0$1.0K

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $69.18 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $69.18 / $549.54