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90685 - intramuscular use $204.86 (Fluzone Quadrivalent) $23.00

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceintramuscular use $204.86 (Fluzone Quadrivalent) $23.00
Procedure / Service Description

Influenza virus vaccine, split virus, preservative free, - Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18, 31, Influenza virus vaccine, quadrivalent (IIV4), split virus, 33, 45, 52, 58 (9vHPV quadrivalent), 2 or 3 dose schedule, for preservative free, 05 mL dosage, for intramuscular use 90651 intramuscular use $204.86 90685 (Fluzone Quadrivalent) $23.00 Influenza virus vaccine, quadrivalent (IIV4), split virus, 05 Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for mL dosage, for intramuscular use (FluLaval [multidose

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.