Vacc AIIV4 no prsrv 0.5ML IM
This code is not in the latest file (4Q26). It was last listed in 3Q24.
Payment limit per 0.5 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 90694
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q24 | $77.359 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 11, 2025 |
| 2Q24 | $77.359 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted March 11, 2025 |
| 1Q24 | $77.359 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted December 19, 2024 |
| 4Q23 | $77.359 | +$5.677 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted October 10, 2024 |
| 3Q23 | $71.682 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 5, 2024 |
| 2Q23 | $71.682 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted February 23, 2024 |
| 1Q23 | $71.682 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted December 6, 2023 |
| 4Q22 | $71.682 | +$5.256 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 22, 2023 |
| 3Q22 | $66.426 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 9, 2023 |
| 2Q22 | $66.426 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted December 14, 2022 |
| 1Q22 | $66.426 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 8, 2022 |
| 4Q21 | $66.426 | +$5.426 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 2, 2022 |
| 3Q21 | $61.00 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted June 2, 2022 |
| 2Q21 | $61.00 | $0.00 | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML IM | v1, posted March 1, 2022 |
| 1Q21 | $61.00 | – | 0.5 ML | Vacc AIIV4 no prsrv 0.5ML 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