CPT 90476
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.
Original text from hospital filings
Adenovirus vaccine type 4
Low
$2
Average
$2.2k
Median
$78
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 163.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +8 other terms | 94 | $151 | $333 | $873 | 262% | — | $36 – $8.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 86 | $63 | $91 | $112 | 123% | — | $34 – $1.4k |
| 3 | Anthem fee schedule · outpatient · +9 other terms | 47 | $69 | $28 | $67 | 241% | — | $0 – $345 |
| 4 | Molina facility · case rate · outpatient · +7 other terms | 32 | $19 | $22 | $13 | 59% | — | $6 – $45 |
| 5 | Aetna fee schedule · outpatient · +6 other terms | 26 | $54 | $917 | $2.1k | 227% | — | $34 – $8.4k |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 26 | $162 | $300 | $356 | 119% | — | $0 – $1.7k |
| 7 | Caresource facility · case rate · outpatient · +3 other terms | 18 | $10 | $21 | $22 | 105% | — | $6 – $68 |
| 8 | Ambetter fee schedule · outpatient · +4 other terms | 17 | $54 | $54 | — | — | — | $54 – $54 |
| 9 | WellCare fee schedule · outpatient · +4 other terms | 17 | $54 | $54 | — | — | — | $54 – $54 |
| 10 | MultiPlan fee schedule · outpatient · +2 other terms | 14 | $77 | $77 | — | — | — | $77 – $77 |
← Hospitals reporting CPT 90476 · Snapshot 20261113T090226Z-3ce6c0b8