Home › Drug Codes › CPT Codes › 90655 · Afluria Preservative Free
Updated October 1st, 2026

Afluria Preservative Free CPT Vaccine Code: 90655

Trivalent, split-virus, preservative-free influenza vaccine (IIV3), IM use

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Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Vaccine & Product Overview

HCPCS Descriptor Trivalent, split-virus, preservative-free influenza vaccine (IIV3), IM use
Manufacturer Seqirus
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About Afluria Preservative Free

Afluria Preservative Free is a medication aligned to the HCPCS CPT Drug Code: 90655 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the intramuscular route and manufactured by Seqirus.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to 90655. Package detail is available to logged-in subscribers.

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Afluria Preservative Free Pricing & Reimbursement

90655 Private Payer Reimbursement
$16.44 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Afluria Preservative Free Vaccine Administration Codes

Medicare bills the administration of Afluria Preservative Free with HCPCS code G0008, and allows simplified roster billing when vaccinating multiple patients. The CPT codes below apply to non-Medicare payers.

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

Code Description
G0008 Administration of influenza virus vaccine (Medicare)
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

Afluria Preservative Free Medically Unlikely Edits (MUE)

The most billing units of 90655 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

Afluria Preservative Free Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Prevention of Influenza
Drug Class
Actively Acquired Immunity [PE]Inactivated Influenza Vaccine [EPC]Influenza Vaccines [CS]Vaccines, Inactivated [CS]

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Compare Afluria Preservative Free with same-ingredient drugs

  • Afluria Preservative Free 90655
  • FLUVARIX TRIVALENT (2024/2025) PRESERVATIVE FREE 90656

ASP, the Medicare payment limit, WAC and AWP for all 2 drugs on one timeline, with 10+ years of monthly history.

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Frequently Asked Questions

Is there an available Afluria Preservative Free billing and coding guide?
Billing and coding information for Afluria Preservative Free can be found through SEQIRUS. Visit Here →
Are there any available Afluria Preservative Free patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Afluria Preservative Free.
Where can I find Afluria Preservative Free prescribing information?
Afluria Preservative Free prescribing information can be found at the link below. Visit Here →
Where can I find Afluria Preservative Free side effect information?
Information regarding Afluria Preservative Free's side effects can be found at MedlinePlus. Visit Here →
Does billing Afluria Preservative Free require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

About BuyandBill.com:

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