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Oral Adenovirus Vaccine, Type 4

Minnesota 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 rates vary

Facilitymedian $631 · 10th to 90th $229 to $955Professionalmedian $186 · 10th to 90th $120 to $240
$200$500$1Kfacility $631professional $186

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
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$186.21
Typical High
$239.88
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$954.99