Code: 90687

Description:
Iiv4 vaccine splt 0.25 ml im
Other Descriptions:
Iiv4 vaccine splt 0.25 ml im
IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE
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: 90686
FLUVAC IIV4 PF 0.5ML IM
Code: 90688
FLUVAC IIV4 0.5ML IM
Code: 90689
FLUVAC IIV4ADJ 0.25ML IM
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton 90687 $12 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 90687 $22 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 90687 $22 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 90687 $22 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 90687 $22 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 90687 $28 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 90687 $28 [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.