Oral Adenovirus Vaccine, Type 4

Nebraska 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 $200 · 10th to 90th $148 to $398

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Nebraska Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $398.11	Facility	None	$147.91	$199.53	$398.11