CPT 90689
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
Vacc iiv4 no prsrv 0.25ml im
Low
$0
Average
$760
Median
$36
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 1270.3× 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 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 113 | $31 | $1.4k | $4.1k | 292% | — | $0 – $41.4k |
| 2 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $36 | $33 | $11 | 33% | — | $13 – $57 |
| 3 | Molina facility · case rate · outpatient · +6 other terms | 29 | $15 | $16 | $7 | 43% | — | $6 – $36 |
| 4 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 24 | $25 | $1.4k | $3.5k | 254% | — | $13 – $11.6k |
| 5 | Anthem fee schedule · outpatient · +11 other terms | 22 | $23 | $24 | $7 | 30% | — | $23 – $107 |
| 6 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $16 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 8 | Aetna fee schedule · outpatient · +10 other terms | 10 | $34 | $2.7k | $2.9k | 109% | — | $19 – $8.4k |
| 9 | Aetna Better Health professional · fee schedule · both · +3 other terms | 8 | $11 | $8 | $11 | 128% | — | $0 – $23 |
| 10 | Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $8 | $8 | $1 | 16% | — | $7 – $14 |
← Hospitals reporting CPT 90689 · Snapshot 20261113T090226Z-3ce6c0b8