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Oregon rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.79 / $127.79 / $127.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.00 / $46.00 / $708.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600,000.00 / $600,000.00 / $600,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.59 / $578.14 / $1,159.14