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Oral Adenovirus Vaccine, Type 4

Illinois 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.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$23.44

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $23.44 for this service. Most negotiated rates run $18.20 to $105.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46 · 10th to 90th $46 to $100Professionalmedian $23 · 10th to 90th $15 to $138
$20$50$100$200facility $46professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.44
Typical High
$138.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.78
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71

Where Illinois sits

The same service costs 48977.9 times more in Utah than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 27th of 39

$23.44

UT $977IN $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.