Quadrivalent flu vaccine, preservative-free, 0.25 mL dose

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Influenza Virus Vial -> IIV4 SYR, 0.25mL Pres Free 90685

Payers reporting CPT 90685

Payer pricing summary

Low

Average

$71

Median

$39

High

$513

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +20 other terms	231	$33	$59	$45	76%	—	$5 – $183
2	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	193	$39	$51	$31	61%	—	$0 – $150
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	145	$23	$127	$1.0k	809%	—	$0 – $11.6k
4	Aetna fee schedule · outpatient · +26 other terms	113	$23	$254	$1.1k	441%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +22 other terms	98	$49	$87	$73	84%	—	$0 – $212
6	Anthem fee schedule · outpatient · +23 other terms	83	$22	$17	$14	81%	—	$0 – $107
7	Molina facility · case rate · outpatient · +21 other terms	37	$20	$18	$7	39%	—	$6 – $36
8	Tricare facility · fee schedule · outpatient · +8 other terms	32	$43	$874	$5.5k	625%	—	$0 – $37.5k
9	Bcbs Tx fee schedule · outpatient · +4 other terms	26	$83	$79	$23	29%	—	$24 – $127
10	Medica fee schedule · outpatient · +11 other terms	21	$37	$37	$18	49%	—	$0 – $60
11	Devoted facility · fee schedule · outpatient · +9 other terms	17	$12	$98	$422	432%	—	$3 – $2.2k
12	Regence facility · fee schedule · both · +7 other terms	17	$19	$24	$14	59%	—	$9 – $72
13	Caresource facility · case rate · outpatient · +11 other terms	16	$9	$11	$4	34%	—	$6 – $22
14	Premera facility · fee schedule · both · +5 other terms	16	$19	$24	$14	60%	—	$11 – $72
15	Carefirst facility · fee schedule · both · +2 other terms	15	$19	$25	$15	59%	—	$19 – $72
16	Excellus facility · fee schedule · both · +9 other terms	15	$19	$25	$15	59%	—	$19 – $72
17	Highmark fee schedule · outpatient · +10 other terms	15	$26	$27	$7	26%	—	$14 – $93
18	Wellmark fee schedule · outpatient · +11 other terms	15	$19	$19	—	—	—	$19 – $19
19	Aetna Better Health fee schedule · outpatient · +12 other terms	14	$21	$68	$102	150%	—	$20 – $352
20	Kaiser facility · fee schedule · both · +10 other terms	13	$19	$24	$15	63%	—	$9 – $72
21	MultiPlan fee schedule · outpatient · +14 other terms	13	$28	$31	$10	32%	—	$16 – $51
22	Optum facility · case rate · outpatient · +12 other terms	13	$9	$11	$4	34%	—	$8 – $18
23	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$26	$23	$7	32%	—	$13 – $32
24	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$21	$21	$1	5%	—	$19 – $22
25	WellCare other · outpatient · +12 other terms	12	$14	$62	$88	142%	—	$6 – $294

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