go back

Wisconsin rates for HCPCS 90476

Adenovirus Vaccine Type 4 Live Oral

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $221.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $20.00