Prior Auth Required

90662 - schedule, for intramuscular use (Harvix, Vaqta) $32.03 for intramuscular use (FLUZONE high-dose) $45.00

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceschedule, for intramuscular use (Harvix, Vaqta) $32.03 for intramuscular use (FLUZONE high-dose) $45.00
Procedure / Service Description

Influenza virus vaccine, split virus, preservative free, - Influenza virus vaccine, split virus, preservative free, Hepatitis A vaccine, pediatric/adolescent dosage-2 dose enhanced immunogenicity via increased antigen content, 90633 schedule, for intramuscular use (Harvix, Vaqta) $32.03 90662 for intramuscular use (FLUZONE high-dose) $45.00 Hepatitis A vaccine, pediatric/adolescent dosage-3 dose Pneumococcal conjagate vaccine, 13 valent (PCV13). For 90634 schedule, for intramuscular use (Harvix) $30.00 90670 intramuscular use (Prevnar13) $195.00

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.