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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.

Facilitymedian $69 · 10th–90th $46$1550%10%20%10th90th$69Professionalmedian $50 · 10th–90th $50$500%50%100%$50$50.0$100.0$200.0$500.0

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
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