go back

Oral Adenovirus Vaccine, Type 4

Indiana 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 October 2026.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$912

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $67.61 to $2,089.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $912 · 10th to 90th $0 to $2,291Professionalmedian $69 · 10th to 90th $68 to $126
$0.1$1$10$100$1Kfacility $912professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$69.18
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,290.87

Where Indiana sits

The same service costs 1288.2 times more in Utah than in Georgia. 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.

Indiana· 2nd of 34

$912

UT $977GA $0.76

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.