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 Preservative Free 0.5 Ml Dosage Im Use
66 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 746 | $32.65 | $36.45 | $0.01 – $571.96 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +34 other terms | 379 | $31.19 | $40.35 | $0.01 – $156.26 |
| 3 | Cigna fee schedule · outpatient · +29 other terms | 370 | $33.15 | $56.90 | $8.89 – $1,016 |
| 4 | Humana fee schedule · outpatient · +27 other terms | 325 | $22.76 | $68.53 | $1.10 – $8,334 |
| 5 | Aetna fee schedule · outpatient · +33 other terms | 247 | $24.03 | $82.91 | $1.05 – $8,450 |
| 6 | Anthem fee schedule · outpatient · +27 other terms | 174 | $26.71 | $31.36 | $5.12 – $397.04 |
| 7 | Molina fee schedule · outpatient · +29 other terms | 102 | $23.22 | $30.61 | $1.05 – $397.04 |
| 8 | Caresource fee schedule · outpatient · +20 other terms | 84 | $25.51 | $56.33 | $1.08 – $635.26 |
| 9 | MultiPlan fee schedule · outpatient · +20 other terms | 83 | $70.78 | $76.04 | $10.00 – $231.28 |
| 10 | Tricare facility · fee schedule · outpatient · +19 other terms | 80 | $22.43 | $23.00 | $0.01 – $110.15 |
| 11 | Kaiser fee schedule · outpatient · +23 other terms | 73 | $23.22 | $44.11 | $5.50 – $316.22 |
| 12 | Medica fee schedule · outpatient · +20 other terms | 71 | $24.93 | $35.57 | $0.01 – $96.60 |
| 13 | WellCare facility · fee schedule · outpatient · +23 other terms | 51 | $22.35 | $22.49 | $3.61 – $79.01 |
| 14 | Regence facility · fee schedule · both · +18 other terms | 44 | $23.95 | $29.60 | $13.62 – $236.58 |
| 15 | Devoted facility · fee schedule · outpatient · +16 other terms | 43 | $23.22 | $73.38 | $1.96 – $2,249 |
| 16 | Premera facility · fee schedule · both · +14 other terms | 41 | $23.36 | $29.86 | $14.57 – $74.58 |
| 17 | Wellmark facility · fee schedule · both · +21 other terms | 41 | $23.22 | $28.65 | $9.34 – $74.58 |
| 18 | Carefirst facility · fee schedule · both · +15 other terms | 40 | $23.29 | $29.75 | $19.82 – $74.58 |
| 19 | Excellus facility · fee schedule · both · +18 other terms | 40 | $23.29 | $28.23 | $19.82 – $74.58 |
| 20 | Highmark facility · fee schedule · both · +20 other terms | 40 | $23.22 | $29.75 | $11.50 – $74.58 |
| 21 | Medcost percent of total billed charges · outpatientfrom % of charges · +8 other terms | 39 | $39.53 | $84.52 | $12.80 – $616.41 |
| 22 | First Health fee schedule · outpatient · +19 other terms | 38 | $68.89 | $70.67 | $8.33 – $200.60 |
| 23 | Medicare facility · fee schedule · outpatient · +16 other terms | 37 | $21.58 | $47.64 | $1.06 – $2,205 |
| 24 | Ambetter facility · fee schedule · outpatient · +21 other terms | 36 | $27.57 | $104.89 | $2.84 – $3,263 |
| 25 | Optum fee schedule · outpatient · +22 other terms | 36 | $22.76 | $33.54 | $5.56 – $96.62 |
← Hospitals reporting CPT 90656 · Snapshot 20261108T203506Z-bb90dbab