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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 October 2026.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$54.95

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $0.93 from a physician practice, and about $69.18 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.93$0.93 to $0.93
FacilityA hospital or hospital-owned outpatient department$69.18$45.71 to $74.13

How much rates vary

Facilitymedian $69 · 10th to 90th $46 to $91Professionalmedian $1 · 10th to 90th $1 to $214
$1$5$20$100$500facility $69professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$69.18
Typical High
$91.20
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$91.20
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$0.93
Typical High
$0.93

Where Washington sits

The same service costs 1288.2 times more in Utah than in Georgia. 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· 19th of 34

$54.95

UT $977GA $0.76

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.