Code: 90686

Description:
HC IIV4 VACC PRESRV FREE 0.5 ML FOR IM USE
Other Descriptions:
HC IIV4 VACC PRESRV FREE 0.5 ML FOR IM USE
INFLUENZA VAC 4 VALENT PRSRV FREE 3 YRS PLUS IM
FLU VACC QS2020-21 (36 MOS UP)(PF)60 MCG (15 MCG X4)/0.5 ML IM SYRINGE
FLU VACCINE QS 2020-21(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE
FLULAVAL QUADRIVALENT 0.5 ML
INFLUENZA 2015-16 FLUARIX
INFLUENZA 2016 17 35MO UP
INFLUENZA QUAD 2019 2020
INFLUENZA QUAD 2020 2021
Related codes:
Code: 90680
RV5 VAC 3DOSE LIVE PO
Code: 90681
RV1 VAC 2DOSE LIVE PO
Code: 90682
FLUVAC RIV4 PFAF IM
Code: 90685
FLUVAC IIV4 PF 0.25ML IM
Code: 90687
FLUVAC IIV4 0.25ML IM
Code: 90688
FLUVAC IIV4 0.5ML IM
Code: 90689
FLUVAC IIV4ADJ 0.25ML IM
Wisconsin
Hospital Address Code Price Last Updated
Aspirus Medford Hospital 135 S Gibson St, Medford 90686 $22 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 90686 $22 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 90686 $22 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 90686 $22 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 90686 $22 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 90686 $25 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 90686 $30 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 90686 $33 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 90686 $37 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 90686 $57 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 90686 $59 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette 90686 $176 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay 90686 $176 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.