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Missouri rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Facilitymedian $5 · 10th–90th $5$50%50%100%$5Professionalmedian $115 · 10th–90th $115$1150%50%100%$115$5.0$10.0$20.0$50.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68