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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: 08/01/2021 – 7/30/2022 AND/OR INSURANCEMedicare has up-dated Fee Schedule 2021-2022 Flu Year.Preventive Medicaid(912 Service File)90662*-(IIV4-HD)Fluzone-High Dose, enhanced 0.7mL – 65 yrs & older$65.00(Slide and FFC)$65.26 $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 $29.00$29.23 $24.0590682 – (RIV4)Flublok-Quad, recombinant DNA, protein only, preserv. & antibiotic free, 0.5mL dosage -18 yrs & older$65.00$65.26 $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$20.52$18.4090687* - (IIV4)Fluzone or Afluria, Quad, 0.25 mL dosage – 6 – 35 mths $10.00$9.95$18.4090688* - (IIV4)Fluzone or Afluria - Quad, 0.5 mL dosage – 3yrs & older$20.00$19.90 $18.4090694* - (aIIV4)Fluad - Quad inactivated, preservative free; 0.5 mL dosage – 65yrs & older $66.00(Slide and FFC) $66.43$59.0090756 – (ccIIV4)Flucelvax - Quad, 5.0 mL dosage – 2 yrs & older$28.00$28.37 $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) $16.00(FFC) $16.00$15.62 90471 (by injection) or90473 (intranasal)Flu Administration (19yrs & older) (VFC and Not by Component)Not VFC and by route(Slide) $19.93 (FFC) $19.00$25.51$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)$126.00$125.92$18.62G0009Adult Pneumococcal AdministrationMedicare(Slide) $16.00(FFC) $16.00 $15.62 ................
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