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Utah rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Facilitymedian $93 · 10th–90th $74$1,3490%20%10th90th$93$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $1,348.96