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See a sample rate comparisonCPT 90660 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Solution For Nasal Flu Vaccine, The Solution For The Flu Vaccine Given In The Nose. The Vaccine Is Given To Protect Against A Flu Virus (Influenza).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 71 - Public Health Clinic 50 - Federally Qualified Health Center |
| Common Modifiers | SL EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | $30.58 per 1 dose (October 2026 ASP) · View Medicare rates for 90660 |
| Medicaid Fee Schedule | $27.465 median of the 8 states in the free preview · View Medicaid rates for 90660 |
National average reimbursement for CPT 90660 by major payers:
$28.28
$27.78
$32.08
$28.40
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CPT 90660
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$56.63Published rateSusan Ahmari
Edward Health Ventures
$29.63Published rateAdam Rappoport
The Nemours Foundation
$27.89Published rateChristopher Ike
Cardiology Associates, P.A.
$24.70Published rateChristopher King
$20.98Published rate
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See a sample payer proposalCPT 90660 vs. Other Vaccines, Toxoids Codes
The CPT 90660 code is part of the Medicine Services and Procedures services used for Vaccines, Toxoids. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90660 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90653-CPT | Low | Influenza Vaccine Inactivated (Iiv) Subunit Adjuvanted For Intramuscular Use (Desc Revised 7/1/2015) Second Or Third Opinion Comprehensive Consult (Old Description -Deleted 3/31/2003) |
| 90655-CPT | Low | Influenza Virus Vaccine Triva, Influenza Virus Vaccine Trivalent (Iiv3) Split Virus Preservative Free When Administered To Children 6-35 Months Of Age For Intramuscular Use |
| 90660-CPT | Low | Solution For Nasal Flu Vaccine, The Solution For The Flu Vaccine Given In The Nose. The Vaccine Is Given To Protect Against A Flu Virus (Influenza). |
| 90662-CPT | Low | Iiv No Prsv Increased Ag Im, Influenza Virus Vaccine Iiv Split Virus Preservative Free Enhanced Immunogenicity Via Increased Antigen Content For Intramuscular Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90660 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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