CPT 90476

Adenovirus type 4 oral vaccine

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

Adenovirus vaccine type 4

Payer pricing summary

Low

Average

$2.3k

Median

$64

High

$33.5k

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 15 Fee schedule 27 Per diem 3 Percent of billed charges 22 Other 8

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#
1	Cigna percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$65	$53	$30	57%	—	$2 – $79
2	UnitedHealthcare percent of total billed charges · outpatientfrom % of charges · +2 other terms	4	$90	$88	$3	4%	—	$84 – $93
3	Aetna percent of total billed charges · bothfrom % of charges · +1 other terms	3	$70	$71	$30	42%	—	$30 – $110
4	Ambetter percent of total billed charges · bothfrom % of charges	2	$55	$55	—	—	—	$55 – $55
5	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$80	$80	—	—	—	$80 – $80
6	Humana percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$90	$90	—	—	—	$90 – $90
7	Molina percent of total billed charges · bothfrom % of charges	2	$40	$40	—	—	—	$40 – $40
8	Anthem percent of total billed charges · outpatientfrom % of charges · +1 other terms	1	$68	$68	$41	60%	—	$27 – $109
9	Bcbs Ca percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
10	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$2	$2	$1	33%	—	$1 – $2

Page 1 of 3 · 22 payers

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