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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 October 2026.

How much does Oral Adenovirus Vaccine, Type 4 cost?

$200

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $48.98 to $209.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $49 · 10th to 90th $44 to $380Professionalmedian $209 · 10th to 90th $11 to $219
$10$20$50$100$200facility $49professional $209

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
$177.83
Median
$208.93
Typical High
$218.78
Network Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$48.98
Typical High
$380.19
Security Health
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$20.42

Where Wisconsin 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.

Wisconsin· 7th of 34

$200

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.