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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 90694
  4. Cost Analysis

How Much Does Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage Cost on Medicare?

Cost analysis for CPT 90694 — Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

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Average Medicare Payment

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Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. AE averages $75.65 vs MN at $66.03.

StateAvg PaymentTotal PaymentsServicesProviders
AE$75.65$18.3K2422
ND$75.43$1.1M14.8K117
IA$75.40$8.4M111.3K570
NE$75.06$4.1M54.8K480
PA$75.05$18.1M241.1K2.4K
SC$75.05$9.9M132.4K1.1K
ME$75.05$813.1K10.8K142
SD$75.03$1.7M22.3K118
WV$75.02$1.1M14.1K233
WA$74.96$8.6M115.3K1.3K
NC$74.96$12.8M171.1K2.3K
VT$74.94$681.9K9.1K64
AL$74.92$4.0M54.0K885
OH$74.91$13.2M176.4K2.3K
GA$74.83$8.8M117.9K1.4K
VI$74.83$23.0K3077
IN$74.81$7.7M103.3K1.3K
UT$74.80$2.2M29.4K530
KS$74.77$4.4M58.6K658
NH$74.75$3.1M41.1K251
AR$74.73$2.7M35.9K413
MT$74.68$1.2M16.3K159
DE$74.67$2.3M30.3K209
VA$74.65$11.9M159.9K1.5K
ID$74.61$1.1M15.0K190
FL$74.52$33.6M450.4K3.5K
MI$74.50$9.1M121.9K1.6K
KY$74.48$3.0M39.7K605
TN$74.47$7.4M99.0K1.3K
AZ$74.47$5.5M73.2K694
MO$74.45$6.2M83.6K939
LA$74.42$2.8M37.3K638
OK$74.41$4.1M55.1K728
OR$74.34$2.9M39.6K582
MD$74.20$9.9M133.5K1.3K
TX$74.17$16.1M217.3K3.1K
HI$74.07$1.5M20.8K112
CA$73.97$38.6M521.7K5.0K
CT$73.97$4.6M61.6K794
WI$73.96$6.0M80.5K1.0K
NV$73.91$2.0M26.8K265
MA$73.88$13.2M178.9K1.5K
IL$73.75$11.8M160.6K1.8K
WY$73.74$381.2K5.2K60
NY$73.65$22.3M302.9K3.1K
NJ$73.58$12.2M166.3K1.5K
DC$73.45$679.8K9.3K168
MS$73.24$2.0M26.9K317
NM$73.21$1.1M15.1K201
PR$71.61$254.4K3.6K78
AK$71.37$369.7K5.2K57

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Walgreen CoCentralized FluCO$7.5M105.9K$70.49
Vaxcare CorporationCentralized FluFL$1.0M13.5K$75.71
Li-Min HuPediatric MedicineCA$695.5K9.2K$75.79
Dania Discount Drugs IncCentralized FluFL$337.0K4.4K$75.74
Genoa Healthcare LlcCentralized FluWA$270.5K3.6K$75.76
Daniel SlaterPediatric MedicineMA$263.8K3.5K$75.81
Giant Of Maryland LlcCentralized FluMD$256.5K3.4K$75.80
First District Health UnitPublic Health or Welfare AgencyND$227.4K3.0K$75.76
Pharmacy Relief Services, PllcPharmacyIA$202.9K2.7K$75.76
Symbria Rx Services, LlcMass Immunizer Roster BillerIL$186.9K2.5K$75.77
M Holdings LlcMass Immunizer Roster BillerSC$178.7K2.4K$75.69
Avera MckennanMass Immunizer Roster BillerSD$176.0K2.3K$75.81
Cost Less Senior Services IncPharmacyWA$158.4K2.1K$75.81
Doyles Corner Drug IncMass Immunizer Roster BillerMA$151.3K2.0K$75.74
Polaris Pharmacy Services Of Ft. Lauderdale, LlcPharmacyFL$143.4K1.9K$75.79
Costco Wholesale CorporationCentralized FluVA$142.3K1.9K$75.72
Hy-Vee IncMass Immunizer Roster BillerMN$126.8K1.7K$75.76
Rajesh IyengarFamily PracticeIL$126.4K1.7K$75.81
Ddp Pharmacy, IncPharmacyNC$124.7K1.6K$75.65
Jd Sigler CompanyMass Immunizer Roster BillerKS$121.5K1.6K$75.79

🤔 Is Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage Overpriced?

Based on the data, CPT 90694 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.