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Oral Adenovirus Vaccine, Type 4

New Jersey 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 $5,888 · 10th to 90th $5,888 to $6,457Professionalmedian $10 · 10th to 90th $10 to $10
$10$50$200$1K$5Kfacility $5,888professional $10

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
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$6,456.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00