CPT 90630
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
Flu vacc iiv4 no preserv id
Low
$0
Average
$23
Median
$18
High
$77
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +3 other terms | 27 | $15 | $16 | $7 | 45% | — | $6 – $36 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 19 | $10 | $14 | $10 | 71% | — | $6 – $52 |
| 3 | Anthem facility · case rate · outpatient · +1 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $15 |
| 4 | Caresource facility · case rate · outpatient | 15 | $9 | $10 | $2 | 23% | — | $6 – $16 |
| 5 | Optum facility · case rate · outpatient | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 6 | Humana facility · case rate · outpatient | 8 | $19 | $20 | $1 | 5% | — | $19 – $21 |
| 7 | Aetna Better Health facility · case rate · outpatient | 7 | $23 | $22 | $1 | 4% | — | $19 – $23 |
| 8 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $21 | $21 | $1 | 3% | — | $21 – $23 |
| 9 | Aetna facility · case rate · outpatient · +1 other terms | 6 | $22 | $23 | $7 | 31% | — | $12 – $36 |
| 10 | Blue Cross Blue Shield facility · case rate · outpatient | 4 | $77 | $77 | $24 | 31% | — | $50 – $111 |
← Hospitals reporting CPT 90630 · Snapshot 20261113T090226Z-3ce6c0b8