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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 October 2026.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$355

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $105 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$355 to $427
FacilityA hospital or hospital-owned outpatient department$105$44.67 to $2,512

How much rates vary

Facilitymedian $105 · 10th to 90th $43 to $4,074Professionalmedian $380 · 10th to 90th $355 to $2,512
$50$100$200$500$1K$2K$5Kfacility $105professional $380

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
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$354.81
Typical High
$954.99
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$380.19
Typical High
$426.58
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$48.98
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$354.81
Typical High
$954.99
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$380.19
Typical High
$426.58
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,128.61
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 4th of 34

$355

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.