go back

Oral Adenovirus Vaccine, Type 4

Utah 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 $977 · 10th to 90th $74 to $5,012
$100$200$500$1K$2K$5Kfacility $977

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
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87