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Oral Adenovirus Vaccine, Type 4

New York 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 July 2026.

Facilitymedian $11 · 10th–90th $11$50,1190%50%90th$11Professionalmedian $59 · 10th–90th $16$950%20%10th90th$59$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.88
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$104.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$77.62
Typical High
$102.33
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$34.67