2010-11 Seasonal Flu Vaccine Rates
- By admin aapc
- In CMS
- October 15, 2010
- Comments Off on 2010-11 Seasonal Flu Vaccine Rates
You can find 2010-2011 seasonal influenza vaccine pricing posted on the Centers for Medicare & Medicaid Services (CMS) website. These payment allowances also were published as a part of the October 2010 quarterly Average Sales Price (ASP) Drug Pricing files.
The payment allowance effective for service dates between Sept. 1 and Dec. 31:
| CPT® Code | Description | Payment |
| 90658 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use | $11.368 |
The payment allowance effective for service dates between Sept. 1 and Aug. 31, 2011:
| CPT® Code | Description | Payment |
| 90655 | Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use | $12.398 |
| 90656 | Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use | $12.375 |
| 90657 | Influenza virus vaccine, split virus, when administered to children 6-35 months of age, for intramuscular use | $6.297 |
| 90660 | Influenza virus vaccine, live, for intranasal use | $22.316 |
| 90662 | Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $29.213 |
Annual Part B deductible and coinsurance amounts do not apply for the flu virus and pneumococcal vaccines.
The Medicare Part B payment allowance limits for seasonal flu and pneumococcal vaccines are 95 percent of the average wholesale price (AWP) as reflected in the published compendia, except where the vaccine is furnished in a hospital outpatient department, at which time the payment allowance is based on reasonable cost.
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