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See a sample rate comparisonCPT 90662 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.
Iiv No Prsv Increased Ag Im, Influenza Virus Vaccine Iiv Split Virus Preservative Free Enhanced Immunogenicity Via Increased Antigen Content For Intramuscular Use
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments JZ - Zero drug amount discarded/not administered to any patient |
| Complexity Level | Low |
| Medicare Fee Schedule | $122.52 per 1 dose (October 2026 ASP) · View Medicare rates for 90662 |
| Medicaid Fee Schedule | $91.50 median of the 8 states in the free preview · View Medicaid rates for 90662 |
National average reimbursement for CPT 90662 by major payers:
$79.86
$90.15
$92.69
$92.35
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CPT 90662
5 of 25 sample ratesHigher to lower in this preview
Shimool Rabbani
$157.67Published rateScott Oresky
$83.48Published rateKathryn Robison
Zufall Health Center Inc
$83.48Published rateBarbara Edwards
Zufall Health Center Inc
$83.48Published rateProvidence Health & Services, Providence Holy Family Hospital
$74.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90662 vs. Other Vaccines, Toxoids Codes
The CPT 90662 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 90662 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) |
| 90656-CPT | Low | Influenza Virus Vaccine Triva, Influenza Virus Vaccine Trivalent (Iiv3) Split Virus Preservative Free When Administered To Individuals 3 Years And Older 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 90662. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90662 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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Frequently Asked Questions
CPT 90662 reports an influenza vaccine that is split virus, preservative free and has an increased antigen content for a stronger immune response, given by intramuscular injection. It is the code for high-dose flu vaccines for older adults.
Medicare Part B covers a seasonal flu shot with no cost sharing, and most commercial plans cover it as a preventive service without cost sharing when given in network.
Medicare Part B pays for the flu vaccine product at a payment allowance CMS publishes for each flu season, and the injection is billed separately (G0008 for Medicare, usually 90471 for commercial plans). Commercial payers set their own rates for both the vaccine and the administration, so totals vary by plan.
This page lists the rates commercial payers have published for CPT 90662 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.