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Tag Archives: Season

Fee Schedule for Flu Vaccine – 2015-2016 Season


CPT 90630 Payment allowance is $ 23.467. Effective dates: 8/1/2015-7/31/2016

CPT 90654 Payment allowance is pending. Effective dates: 8/1/2015-7/31/2016

CPT 90655 Payment allowance is pending. Effective dates: 8/1/2015-7/31/2016

CPT 90656 Payment allowance is $ 13.880. Effective dates: 8/1/2015-7/31/2016

CPT 90657 Payment allowance is $ 6.022. Effective dates: 8/1/2015-7/31/2016

CPT 90661 Payment allowance is $ 22.288. Effective dates: 8/1/2015-7/31/2016

CPT 90662 Payment allowance is $ 36.315. Effective dates: 8/1/2015-7/31/2016

CPT 90672 Payment allowance is pending. Effective dates: 8/1/2015-7/31/2016

CPT 90673 Payment allowance is $ 37.193 Effective dates: 9/26/2015-7/31/2016

CPT 90685 Payment allowance is $ 24.596. Effective dates: 8/1/2015-7/31/2016

CPT 90686 Payment allowance is $ 18.155. Effective dates: 8/1/2015-7/31/2016

CPT 90687 Payment allowance is $ 9.134. Effective dates: 8/1/2015-7/31/2016

CPT 90688 Payment allowance is $ 18.269. Effective dates: 8/1/2015-7/31/2016

HCPCS Q2035 Payment allowance is $ 13.025. Effective dates: 8/1/2015-7/31/2016

HCPCS Q2036 Payment allowance is pending. Effective dates: 8/1/2015-7/31/2016

HCPCS Q2037 Payment allowance is $ 15.830. Effective dates: 8/1/2015-7/31/2016

HCPCS Q2038 Payment allowance is $ 12.044. Effective dates: 8/1/2015-7/31/2016

HCPCS Q2039 Flu Vaccine Adult – Not Otherwise Classified payment allowance is to be determined by the local claims processing contractor with effective dates of 8/1/2015-7/31/2016.


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Payment Allowances and Effective Dates of for the 2014-2015 Flu Season


CPT 90654 Payment allowance is $ 18.918. Effective dates: 8/1/2014-7/31/2015
CPT 90655 Payment allowance is pending. Effective dates: 8/1/2014-7/31/2015
CPT 90656 Payment allowance is $ 14.096. Effective dates: 8/1/2014-7/31/2015
CPT 90657 Payment allowance is $ 6.022. Effective dates: 8/1/2014-7/31/2015
CPT 90661 Payment allowance is $ 21.666. Effective dates: 8/1/2014-7/31/2015
CPT 90662 Payment allowance is $ 33.374. Effective dates: 8/1/2014-7/31/2015
CPT 90672 Payment allowance is $ 25.736. Effective dates: 8/1/2014-7/31/2015
CPT 90673 Payment allowance is $ 37.193 Effective dates: 9/26/2014-7/31/2015
CPT 90685 Payment allowance is $ 23.900. Effective dates: 8/1/2014-7/31/2015
CPT 90686 Payment allowance is $ 17.984. Effective dates: 8/1/2014-7/31/2015
CPT 90687 Payment allowance is $ 9.134. Effective dates: 8/1/2014-7/31/2015
CPT 90688 Payment allowance is $ 16.844. Effective dates: 8/1/2014-7/31/2015
HCPCS Q2035 Payment allowance is $ 11.885. Effective dates: 8/1/2014-7/31/2015
HCPCS Q2036 Payment allowance is $ 8.579. Effective dates: 8/1/2014-7/31/2015
HCPCS Q2037 Payment allowance is $ 15.396. Effective dates: 8/1/2014-7/31/2015
HCPCS Q2038 Payment allowance is $ 12.044. Effective dates: 8/1/2014-7/31/2015
HCPCS Q2039 Flu Vaccine Adult – Not Otherwise Classified payment allowance is to be determined by the local claims processing contractor with effective dates of 8/1/2014-7/31/2015

Reference: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-Drugs/McrPartBDrugAvgSalesPrice/VaccinesPricing.html


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