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 Tricare 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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289 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $22.35 | $22.35 – $22.35 |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $22.06 | $22.06 – $22.06 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $22.52 | $22.52 – $22.52 |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $22.99 | $22.99 – $22.99 |
| 6 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 11 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 12 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 13 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $13.88 | $13.88 – $13.88 |
| 15 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $67.00 | $55.24 – $102.29 |
| 16 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 17 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $23.22 | $23.22 – $23.22 |
| 18 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $25.00 | $25.00 – $25.00 |
| 19 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 20 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 21 | Aspirus Medford Hospital Medford, WI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 22 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 23 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
| 24 | Aspirus Stanley Hospital Stanley, WI fee schedule · both | 1 | $46.14 | $46.14 – $46.14 |
| 25 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · both | 1 | $22.35 | $22.35 – $22.35 |
← Payers reporting CPT 90656 · Snapshot 20261108T203506Z-bb90dbab