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Oral Adenovirus Vaccine, Type 4

Pennsylvania 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.

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $8,511Professionalmedian $15 · 10th to 90th $15 to $15
$100$1K$10Kfacility $15professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49