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Oral Adenovirus Vaccine, Type 4

Wisconsin 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 $49 · 10th–90th $44$3800%50%10th90th$49Professionalmedian $20 · 10th–90th $11$850%10%20%10th90th$20$10.0$20.0$50.0$100.0$200.0

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
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$380.19
Security Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$20.42