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Oral Adenovirus Vaccine, Type 4

Ohio 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 does Oral Adenovirus Vaccine, Type 4 cost?

$107

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $5.50 to $117.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $107 to $126Professionalmedian $107 · 10th to 90th $5 to $123
$10$20$50$100facility $110professional $107

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$109.65
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$117.49
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$50.12
Typical High
$50.12

Where Ohio sits

The same service costs 1288.2 times more in Utah than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 11th of 34

$107

UT $977GA $0.76

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.