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INFLUENZA (FLU) Vaccine CodesCPT Code (*non-VFC will require a NV modifier)DescriptionRate (self pay)(501 Service File) Medicare As of: 08/01/2022 – 7/31/2023 AND/OR INSURANCEMedicare has up-dated Fee Schedule 2022-2023 Flu Year.Preventive Medicaid(912 Service File)90662*-(IIV4-HD)Fluzone-High Dose, enhanced 0.7mL – 65 yrs & older$70.00(Slide and FFC)$69.94 $18.4090672* - (LAIV4) FLUMIST -Influenza live, intranasal, FluMist, 2yrs-49yrs$27.00(Slide and FFC)$26.88$18.4090674* - (ccIIV4)Flucelvax-Quad, preserv. & antibiotic free, 0.5 mL dosage – 2yrs & older $32.00$32.28 $24.0590682 – (RIV4)Flublok-Quad, recombinant DNA, protein only, preserv. & antibiotic free, 0.5mL dosage -18 yrs & older$70.00$69.94 $46.31 90685* - (IIV4)Afluria -Quad, preserv. free; 0.25 mL dosage – 6 – 35 mths$22.00$21.63$18.4090686* - (IIV4)Fluarix, FluLaval, Fluzone, or Afluria - Quad, preserv. free; 0.5 mL dosage – 6 mths & older $21.00$21.52$20.5390687* - (IIV4)Fluzone or Afluria, Quad, 0.25 mL dosage – 6 – 35 mths $10.00$10.24$18.4090688* - (IIV4)Fluzone or Afluria - Quad, 0.5 mL dosage – 3yrs & older$20.00$20.48 $18.4090694* - (aIIV4)Fluad - Quad inactivated, preservative free; 0.5 mL dosage – 65yrs & older $71.00(Slide and FFC) $71.68$59.0090756 – (ccIIV4)Flucelvax - Quad, 5.0 mL dosage – 2 yrs & older$30.00$30.58 $22.79INFLUENZA (FLU) Administration CodesCPT Code (non-VFC)DescriptionRate (self pay) (501 ServiceFile) Medicare Preventive Medicaid(912 Service File)G0008Flu Administration Medicare≥19yrs<19yrs Not VFC and Not by Component)(Slide) $25.00(FFC) $25.00$27.49 90471 (by injection) or90473 (intranasal)Flu Administration (19yrs & older) (VFC and Not by Component)Not VFC and by route(Slide) $25.00 (FFC) $25.00$27.49$22.61$19.9390460 (by Component)Flu Administration (6mos. - <19yrs) VFC and by ComponentNot VFC and by Component (Slide) $19.93(Slide at $19.93) (FFC at $19.00)$18.40ADULT PNEUMONIA Vaccine and Administration Codes90732Adult Pneumococcal , (PPSV23)$133.00$133.42$133.47G0009Adult Pneumococcal AdministrationMedicare(Slide) $25.00(FFC) $25.00 $27.49 ................
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