Prior Auth Required
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.