go back

Oral Adenovirus Vaccine, Type 4

Washington 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 does Oral Adenovirus Vaccine, Type 4 cost?

$69.18

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $50.12 to $91.20.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $46 to $155Professionalmedian $50 · 10th to 90th $50 to $50
$50$100$200$500facility $69professional $50

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
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$154.88
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$147.91

Where Washington sits

The same service costs 48977.9 times more in Utah than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 12th of 39

$69.18

UT $977IN $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.