# CPT 90473: Immunization administration, intranasal or oral, one vaccine

Medicare CPT 90473 pays $17.37 in a non-facility setting and $17.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $15.61 in Arkansas to $20.80 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/90473-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.37 |
| National facility | $17.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $20.80 | $20.80 |
| District of Columbia | $19.73 | $19.73 |
| California | $19.50 | $19.50 |
| New Jersey | $19.12 | $19.12 |
| New York | $19.07 | $19.07 |
| Washington | $19.07 | $19.07 |
| Massachusetts | $18.88 | $18.88 |
| Hawaii | $18.78 | $18.78 |
| Connecticut | $18.43 | $18.43 |
| Colorado | $18.09 | $18.09 |
| Maryland | $17.95 | $17.95 |
| Oregon | $17.92 | $17.92 |
| Rhode Island | $17.82 | $17.82 |
| New Hampshire | $17.79 | $17.79 |
| Florida | $17.72 | $17.72 |
| Puerto Rico | $17.49 | $17.49 |
| Virgin Islands | $17.49 | $17.49 |
| Minnesota | $17.46 | $17.46 |
| Montana | $17.37 | $17.37 |
| Nevada | $17.32 | $17.32 |
| Illinois | $17.31 | $17.31 |
| Wyoming | $17.28 | $17.28 |
| Delaware | $17.23 | $17.23 |
| Pennsylvania | $17.21 | $17.21 |
| Texas | $17.20 | $17.20 |
| North Dakota | $17.17 | $17.17 |
| South Dakota | $17.15 | $17.15 |
| Vermont | $17.09 | $17.09 |
| Virginia | $17.08 | $17.08 |
| Arizona | $16.97 | $16.97 |
| Georgia | $16.92 | $16.92 |
| Michigan | $16.81 | $16.81 |
| Maine | $16.74 | $16.74 |
| Wisconsin | $16.66 | $16.66 |
| Utah | $16.65 | $16.65 |
| New Mexico | $16.49 | $16.49 |
| North Carolina | $16.49 | $16.49 |
| South Carolina | $16.46 | $16.46 |
| Missouri | $16.43 | $16.43 |
| Louisiana | $16.40 | $16.40 |
| Ohio | $16.38 | $16.38 |
| Indiana | $16.37 | $16.37 |
| Nebraska | $16.29 | $16.29 |
| Idaho | $16.28 | $16.28 |
| Iowa | $16.20 | $16.20 |
| Tennessee | $16.18 | $16.18 |
| Kansas | $16.11 | $16.11 |
| Kentucky | $16.08 | $16.08 |
| Oklahoma | $16.08 | $16.08 |
| West Virginia | $16.02 | $16.02 |
| Alabama | $15.80 | $15.80 |
| Mississippi | $15.70 | $15.70 |
| Arkansas | $15.61 | $15.61 |

## Related codes

- 90460: Immunization administration through 18 years, with counseling, first vaccine component — https://www.med-reveal.com/rates/90460-cpt-fee-schedule
- 90461: Immunization administration, each additional vaccine component (add-on) — https://www.med-reveal.com/rates/90461-cpt-fee-schedule
- 90471: Immunization administration, one vaccine — https://www.med-reveal.com/rates/90471-cpt-fee-schedule
- 90472: Immunization administration, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90472-cpt-fee-schedule
- 90474: Immunization administration, intranasal or oral, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90474-cpt-fee-schedule
- G0008: Administration of influenza virus vaccine — https://www.med-reveal.com/rates/G0008-hcpcs-fee-schedule
- G0009: Administration of pneumococcal vaccine — https://www.med-reveal.com/rates/G0009-hcpcs-fee-schedule
- G0010: Administration of hepatitis B vaccine — https://www.med-reveal.com/rates/G0010-hcpcs-fee-schedule

Commercial negotiated rates for 90473 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules