Home › Drug Codes › CPT Codes › 90657 · FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE
Updated July 1st, 2026

FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE CPT Vaccine Code: 90657

Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use

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Medicare Payment Limit ?
$11.141
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 ?
4
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Medicare Coverage Medicare Part B covers FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE as a preventive vaccine — the Part B deductible and coinsurance do not apply.

Vaccine & Product Overview

HCPCS Descriptor Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Multi-Dose
Dosage Form Injection, Suspension

About FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE

Fluzone High-dose (2024/2025) Preservative FREE is a medication aligned to the HCPCS CPT Drug Code: 90657 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular route and manufactured by multiple companies.

According to CMS Drug Use Information: This vaccine is used to help prevent influenza ("flu") in people 6 months and older. 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 shot. 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. The flu vaccine does not cause the flu.

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

4 NDC packages are crosswalked to 90657. Package detail is available to logged-in subscribers.

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FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE Pricing & Reimbursement

90657 Private Payer Reimbursement
$11.29 / 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.

FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE Vaccine Administration Codes

Medicare bills the administration of FLUZONE HIGH-DOSE (2024/2025) 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)
90460 Immunization administration via any route, first vaccine/toxoid component
90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component (List separately in addition to code for primary procedure).

FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE Medically Unlikely Edits (MUE)

The most billing units of 90657 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.25 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.

FLUZONE HIGH-DOSE (2024/2025) 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.

Influenza

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Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Fluzone High-Dose (2024/2025) Preservative Free?
Our team has not identified a manufacturer-published source of billing and coding information for Fluzone High-Dose (2024/2025) Preservative Free.
Are there any available patient assistance programs for Fluzone High-Dose (2024/2025) Preservative Free?
Our team has not identified a source of patient assistance information for Fluzone High-Dose (2024/2025) Preservative Free.
Where can I find Fluzone High-Dose (2024/2025) Preservative Free prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Fluzone High-Dose (2024/2025) Preservative Free?
Our team has not identified a source of side effect information for Fluzone High-Dose (2024/2025) Preservative Free.
Does billing FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE require JZ/JW wastage modifiers?
CMS does not include FLUZONE HIGH-DOSE (2024/2025) PRESERVATIVE FREE (90657) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90657. For more information, visit the link below.

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