go back

New York rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $17.10 / $26.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.62 / $81.97 / $96.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $11.51 / $11.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $11.51 / $14.78