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Minnesota rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Facilitymedian $631 · 10th–90th $631–$9550%20%40%90th$631Professionalmedian $170 · 10th–90th $170–$2190%50%90th$170$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $954.99