HCPCS 90653 · per 0.5 ML
Iiv adjuvant vaccine im
Products billed under this code include Fluad Trivalent (2025/2026) (Preservative Free).
Payment limit per 0.5 ML, by effective quarter, 1Q21 to 4Q26.
Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.
Payment limit, 4Q26
$122.522
per 0.5 ML
vs. last quarter ↑ 24.8%
vs. a year ago ↑ 24.8%
Coinsurance 0%
In the files 1Q21 – 4Q26
Payment basis, as stated by CMS
Vaccine: 95% of AWP CMS note: “see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates”
Products billed under 90653
From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
Product Labeler NDC Units / pkg Limit / pkg
Fluad Trivalent (2025/2026) (Preservative Free)
Seqirus Inc
70461-0025-03
10
$1,225.22
Every quarter
Quarter Payment limit Change Billing unit Description Source file
4Q26
$122.522
+$24.362
0.5 ML
Iiv adjuvant vaccine im
v1 , posted September 17, 2026
3Q26
$98.16
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted September 15, 2026
2Q26
$98.16
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted September 15, 2026
1Q26
$98.16
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted September 15, 2026
4Q25
$98.16
+$14.67
0.5 ML
Iiv adjuvant vaccine im
v1 , posted September 8, 2026
3Q25
$83.49
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted March 10, 2026
2Q25
$83.49
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted March 10, 2026
1Q25
$83.49
$0.00
0.5 ML
Iiv adjuvant vaccine im
v1 , posted December 19, 2025
4Q24
$83.49
–
0.5 ML
Iiv adjuvant vaccine im
v1 , posted June 11, 2025
3Q21
$59.529
$0.00
0.5 ml
Iiv adjuvant vaccine im
v1 , posted June 2, 2022
2Q21
$59.529
$0.00
0.5 ml
Iiv adjuvant vaccine im
v1 , posted March 1, 2022
1Q21
$59.529
–
0.5 ml
Iiv adjuvant vaccine im
v1 , posted December 10, 2021
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same.
“vs. last quarter” and “vs. a year ago” follow the same rule.
CMS source files
4Q26:
2026-09-17_october-2026-medicare-part-b-payment-limit-files-final.zip posted September 17, 2026
4Q26:
2026-09-17_october-2026-ndc-hcpcs-crosswalk-final.zip posted September 17, 2026
3Q26:
2026-09-15_july-2026-medicare-part-b-payment-limit-files.zip posted September 15, 2026
2Q26:
2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zip posted September 15, 2026
1Q26:
2026-09-15_january-2026-medicare-part-b-payment-limit-files.zip posted September 15, 2026
4Q25:
2026-09-08_october-2025-asp-pricing-final-file.zip posted September 8, 2026
3Q25:
2026-03-10_july-2025-asp-pricing-file.zip posted March 10, 2026
2Q25:
2026-03-10_april-2025-asp-pricing-file.zip posted March 10, 2026
1Q25:
2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zip posted December 19, 2025
4Q24:
2025-06-11_october-2024-asp-pricing-file.zip posted June 11, 2025
3Q21:
2022-06-02_july-2021-asp-pricing-file.zip posted June 2, 2022
2Q21:
2022-03-01_april-2021-asp-pricing-file.zip posted March 1, 2022
1Q21:
2021-12-10_january-2021-asp-pricing-file.zip posted December 10, 2021