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Oral Adenovirus Vaccine, Type 4

Massachusetts 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?

$46.77

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $42.66 to $75.86.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46 · 10th to 90th $43 to $355Professionalmedian $380 · 10th to 90th $355 to $427
$50$100$200$500$1K$2K$5Kfacility $46professional $380

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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$354.81
Typical High
$1,096.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$354.81
Typical High
$1,096.48
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$426.58

Where Massachusetts 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.

Massachusetts· 18th of 39

$46.77

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.