Home › Drug Codes › CPT Codes › 90660 · FLUMIST QUADRIVALENT (2023/2024)
Updated July 1st, 2026

FLUMIST QUADRIVALENT (2023/2024) CPT Vaccine Code: 90660

Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use

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Medicare Payment Limit ?
$30.581
2026–27 Season rate · per dose
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Medicare Coverage Medicare Part B covers FLUMIST QUADRIVALENT (2023/2024) as a preventive vaccine — the Part B deductible and coinsurance do not apply.

Vaccine & Product Overview

HCPCS Descriptor Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use
Manufacturer MedImmune
Route of Administration Nasal
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Spray

About FLUMIST QUADRIVALENT (2023/2024)

Flumist Quadrivalent (2023/2024) is a medication aligned to the HCPCS CPT Drug Code: 90660 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the nasal route and manufactured by MedImmune.

According to CMS Drug Use Information: This vaccine is used to help prevent influenza ("flu") in children and adults. Influenza can cause serious (rarely fatal) illness, especially in people at high risk from the infection (such as young children, older adults, people with chronic health problems). This vaccine is also called the seasonal flu vaccine. It contains live viruses that have been weakened. It works by increasing the body's natural defense (immunity) against the virus. Vaccination is the best way to protect against this infection. It can help prevent the infection or decrease the seriousness of the illness if you become infected. Since different types of flu viruses cause infection every flu season, a new vaccine is made and given every year. Vaccines may not fully protect everyone who receives them.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

3 NDC packages are crosswalked to 90660. Package detail is available to logged-in subscribers.

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FLUMIST QUADRIVALENT (2023/2024) Pricing & Reimbursement

90660 Private Payer Reimbursement
$29.74 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Medicare vaccine payment limits reset each season (effective August 1) — year-over-year steps in the chart reflect the new season's pricing, not data errors.

FLUMIST QUADRIVALENT (2023/2024) Vaccine Administration Codes

Medicare bills the administration of FLUMIST QUADRIVALENT (2023/2024) 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)
90473 Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid).
90474 Immunization administration by intranasal or oral route; each additional vaccine or toxoid.

FLUMIST QUADRIVALENT (2023/2024) Medically Unlikely Edits (MUE)

The most billing units of 90660 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.2 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.2 ml per day

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 →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

FLUMIST QUADRIVALENT (2023/2024) 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.

Influenza

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Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Flumist Quadrivalent (2023/2024)?
Billing and coding information for FLUMIST QUADRIVALENT (2023/2024) can be found through MedImmune. Visit Here →
Are there any available patient assistance programs for Flumist Quadrivalent (2023/2024)?
FLUMIST QUADRIVALENT (2023/2024) patient assistance information can be found through MedImmune. Visit Here →
Where can I find Flumist Quadrivalent (2023/2024) prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Flumist Quadrivalent (2023/2024)?
Our team has not identified a source of side effect information for Flumist Quadrivalent (2023/2024).
Does billing FLUMIST QUADRIVALENT (2023/2024) require JZ/JW wastage modifiers?
CMS does not include FLUMIST QUADRIVALENT (2023/2024) (90660) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90660. For more information, visit the link below.

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