Additional vaccine given by nasal or oral route

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Vaccine Administration Immunization Intranasal/Oral Route Each Additional Vaccine

Payers reporting CPT 90474

Payer pricing summary

Low

Average

$51

Median

$30

High

$476

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Ambetter fee schedule · both · +18 other terms	33	$19	$21	$7	35%	1–10	$11 – $78
2	Tricare professional · fee schedule · outpatient · +16 other terms	25	$11	$11	$1	10%	1–10	$7 – $13
3	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	200	$36	$42	$47	112%	—	$0 – $719
4	UnitedHealthcare fee schedule · outpatient · +32 other terms	200	$19	$40	$50	126%	—	$1 – $190
5	Humana fee schedule · outpatient · +26 other terms	162	$12	$125	$752	603%	—	$1 – $8.3k
6	Aetna fee schedule · outpatient · +27 other terms	141	$12	$229	$1.0k	445%	—	$1 – $8.4k
7	Anthem fee schedule · outpatient · +22 other terms	81	$16	$49	$74	151%	—	$3 – $313
8	Cigna fee schedule · outpatient · +23 other terms	78	$12	$65	$110	169%	—	$8 – $313
9	Molina fee schedule · outpatient · +24 other terms	46	$16	$18	$11	62%	—	$1 – $58
10	WellCare fee schedule · both · +18 other terms	41	$13	$13	$5	40%	—	$9 – $28
11	Kaiser fee schedule · outpatient · +20 other terms	38	$12	$24	$29	121%	—	$8 – $149
12	MultiPlan fee schedule · outpatient · +19 other terms	34	$31	$47	$43	91%	—	$6 – $159
13	Optum professional · fee schedule · outpatient · +17 other terms	31	$12	$11	$2	14%	—	$5 – $13
14	Regence professional · fee schedule · outpatient · +14 other terms	29	$11	$13	$3	20%	—	$10 – $29
15	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$22	$18	$9	48%	—	$3 – $32
16	Aetna Better Health fee schedule · outpatient · +14 other terms	25	$11	$49	$98	200%	—	$3 – $352
17	Medica professional · fee schedule · outpatient · +16 other terms	24	$13	$13	$3	20%	—	$8 – $22
18	Devoted fee schedule · outpatient · +14 other terms	23	$12	$12	$0	3%	—	$12 – $13
19	Highmark fee schedule · outpatient · +18 other terms	21	$14	$25	$55	223%	—	$2 – $313
20	Medcost fee schedule · both · +10 other terms	21	$32	$27	$6	21%	—	$20 – $32
21	Ucare professional · fee schedule · outpatient · +14 other terms	21	$12	$12	$4	29%	—	$9 – $23
22	Bcbs Tx fee schedule · outpatient · +4 other terms	20	$54	$53	$16	30%	—	$15 – $87
23	Caresource facility · case rate · outpatient · +17 other terms	20	$16	$17	$4	25%	—	$11 – $27
24	Medicare fee schedule · outpatient · +13 other terms	18	$12	$11	$0	4%	—	$11 – $12
25	Cigna Healthspring fee schedule · outpatient · +5 other terms	17	$12	$11	$0	4%	—	$11 – $12

Page 1 of 3 · 61 payers