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
The hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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155 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $115.13 | $115.13 – $115.13 |
| 2 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $115.13 | $115.13 – $115.13 |
| 3 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $115.13 | $115.13 – $115.13 |
| 4 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $115.13 | $115.13 – $115.13 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $70.58 | $70.58 – $70.58 |
| 6 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $36.48 | $36.48 – $36.48 |
| 7 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $37.20 | $37.20 – $37.20 |
| 8 | Aspirus Medford Hospital Medford, WI fee schedule · both | 1 | $37.20 | $37.20 – $37.20 |
| 9 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $37.20 | $37.20 – $37.20 |
| 10 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $23.17 | $23.17 – $23.17 |
| 11 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $37.20 | $37.20 – $37.20 |
| 12 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $37.20 | $37.20 – $37.20 |
| 13 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 15 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 16 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 17 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 18 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 19 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 20 | Aurora Medical Center Manitowoc Two Rivers, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 21 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 23 | Aurora Medical Center Sheboygan County Sheboygan, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 24 | Aurora Medical Center Summit Summit, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
| 25 | Aurora Medical Center Washington County Hartford, WI fee schedule · outpatient | 2 | $26.68 | $26.08 – $27.28 |
← Payers reporting CPT 90656 · Snapshot 20261108T203506Z-bb90dbab