CPT 90655
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
Iiv3 vacc no prsv 0.25 ml im
Low
$0
Average
$485
Median
$24
High
$17.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 23.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 505 | $22 | $21 | $11 | 49% | — | $0 – $81 |
| 2 | Cigna fee schedule · outpatient · +8 other terms | 213 | $23 | $41 | $30 | 72% | — | $13 – $120 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 184 | $33 | $41 | $26 | 64% | — | $0 – $109 |
| 4 | Aetna fee schedule · outpatient · +8 other terms | 105 | $20 | $240 | $1.1k | 467% | — | $0 – $8.4k |
| 5 | Humana fee schedule · outpatient · +7 other terms | 90 | $44 | $210 | $943 | 448% | — | $3 – $8.3k |
| 6 | Anthem fee schedule · outpatient · +6 other terms | 60 | $0 | $14 | $13 | 92% | — | $0 – $70 |
| 7 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $69 | $63 | $21 | 33% | — | $24 – $108 |
| 8 | Molina fee schedule · outpatient · +6 other terms | 17 | $18 | $25 | $18 | 71% | — | $5 – $93 |
| 9 | Aetna Better Health fee schedule · outpatient · +2 other terms | 14 | $17 | $74 | $120 | 161% | — | $0 – $352 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient · +1 other terms | 13 | $15 | $15 | $1 | 10% | — | $10 – $15 |
← Hospitals reporting CPT 90655 · Snapshot 20261113T090226Z-3ce6c0b8