Iiv4 vaccine splt 0.25 ml im
This code is not in the latest file (4Q26). It was last listed in 3Q24.
Payment limit per 0.25 ML, by effective quarter, 1Q21 to 3Q24. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under 90687
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q24 | $10.439 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 11, 2025 |
| 2Q24 | $10.439 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted March 11, 2025 |
| 1Q24 | $10.439 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted December 19, 2024 |
| 4Q23 | $10.439 | +$0.198 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted October 10, 2024 |
| 3Q23 | $10.241 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 5, 2024 |
| 2Q23 | $10.241 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted February 23, 2024 |
| 1Q23 | $10.241 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted December 6, 2023 |
| 4Q22 | $10.241 | +$0.288 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 22, 2023 |
| 3Q22 | $9.953 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 9, 2023 |
| 2Q22 | $9.953 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted December 14, 2022 |
| 1Q22 | $9.953 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 8, 2022 |
| 4Q21 | $9.953 | +$0.369 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 2, 2022 |
| 3Q21 | $9.584 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted June 2, 2022 |
| 2Q21 | $9.584 | $0.00 | 0.25 ML | Iiv4 vaccine splt 0.25 ml im | v1, posted March 1, 2022 |
| 1Q21 | $9.584 | – | 0.25 ML | Iiv4 vaccine splt 0.25 ml 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
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021