go back

Ohio rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $116.00 / $119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $118.00 / $123.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $1.00 / $19.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00