Seasonal Influenza Vaccines Pricing

The Medicare Part B payment allowance limits for seasonal influenza (flu) vaccines are 95% of the Average Wholesale Price (AWP), as reflected in the published compendia.

In hospital outpatient departments, payment is based on reasonable cost.

Annual Part B deductible and coinsurance amounts don’t apply for the influenza virus vaccinations. All physicians, non-physician practitioners, and suppliers who administer these vaccinations must take assignment on the claim for the vaccine.

Annual Influenza Vaccine season starts on August 1 and ends on July 31 of the following year.
 

Payment Allowances and Effective Dates by Flu Season

2022-2023

Payment Allowances and Effective Dates for the 2022-2023 Flu Season:

Code	Labeler Name	Vaccine Name	Payment Allowance	Effective Dates
90662	Sanofi Pasteur	Fluzone High-Dose Quadrivalent (2022/2023)	$ 69.941	08/01/2022 – 07/31/2023
90672	MedImmune	FluMist Quadrivalent (2022/2023)	$ 26.876	08/01/2022 – 07/31/2023
90674	Seqirus	Flucelvax Quadrivalent (2022/2023) (Preservative Free)	$ 32.278	08/01/2022 – 07/31/2023
90682	Sanofi Pasteur	Flublok Quadrivalent (2022/2023) (Preservative Free)	$ 69.941	08/01/2022 – 07/31/2023
90686	GlaxoSmithKline Sanofi Pasteur Seqirus	Fluarix Quadrivalent (2022/2023) (Preservative Free) Flulaval Quadrivalent (2022/2023) (Preservative Free) Fluzone Quadrivalent (2022/2023) (Preservative Free) Afluria Quadrivalent (2022/2023) (Preservative Free)	$ 21.518	08/01/2022 – 07/31/2023
90687	Sanofi Pasteur Seqirus	Fluzone Quadrivalent 0.25ml (2022/2023) Afluria Quadrivalent 0.25ml (2022/2023)	$ 10.241	08/01/2022 – 07/31/2023
90688	Sanofi Pasteur Seqirus	Fluzone Quadrivalent (2022/2023) Afluria Quadrivalent (2022/2023)	$ 20.482	08/01/2022 – 07/31/2023
90694	Seqirus	Fluad Quadrivalent (2022/2023) (Preservative Free)	$ 71.682	08/01/2022 – 07/31/2023
90756	Seqirus	Flucelvax Quadrivalent (2022/2023)	$ 30.581	08/01/2022 – 07/31/2023

Payment limits and effective dates for newly approved and marketed influenza vaccines will be posted to this webpage.

2021 - 2022

Payment Allowances and Effective Dates for the 2021-2022 Flu Season:

Code	Labeler Name	Vaccine Name	Payment Allowance	Effective Dates
90662	Sanofi Pasteur	Fluzone High-Dose Quadrivalent (2021/2022)	$65.261	08/01/2021 – 07/31/2022
90672	MedImmune	FluMist Quadrivalent (2021/2022)	$26.876	08/26/2021 – 07/31/2022
90674	Seqirus	Flucelvax Quadrivalent (2021/2022) (Pres Free)	$29.940	08/11/2021 – 07/31/2022
90682	Sanofi Pasteur	Flublok Quadrivalent (2021/2022)	$65.261	08/01/2021 – 07/31/2022
90685	Sanofi Pasteur Seqirus	Fluzone Quadrivalent 0.25ml  (2021/2022) (Pres Free) Afluria Quadrivalent 0.25ml (2021/2022) (Pres Free)	$21.639	08/01/2021 – 07/31/2022
90686	GlaxoSmithKline Sanofi Pasteur Seqirus	Fluarix Quadrivalent (2021/2022) (Pres free) Flulaval Quadrivalent (2021/2022) (Pres Free) Fluzone Quadrivalent  (2021/2022) (Pres Free) Afluria Quadrivalent (2021/2022) (Pres Free)	$20.526	08/01/2021 – 07/31/2022
90687	Sanofi Pasteur Seqirus	Fluzone Quadrivalent  0.25ml (2021/2022) Afluria Quadrivalent 0.25ml (2021/2022)	$9.953	08/01/2021 – 07/31/2022
90688	Sanofi Pasteur Seqirus	Fluzone Quadrivalent (2021/2022) Afluria Quadrivalent (2021/2022)	$19.906	08/01/2021 – 07/31/2022
90694	Seqirus	Fluad Quadrivalent (2021/2022)	$66.426	08/11/2021 – 07/31/2022
90756	Seqirus	Flucelvax Quadrivalent (2021/2022)	$28.370	08/11/2021 – 07/31/2022

Payment limits and effective dates for newly approved and marketed influenza vaccines will be posted to this webpage.
 

2020 - 2021

Payment Allowances and Effective Dates for the 2020-2021 Flu Season:

Code	Labeler Name	Vaccine Name	Payment Allowance	Effective Dates
90653	Seqirus	Fluad (2020/2021)	$59.529	8/01/2020 – 07/31/2021
90694	Seqirus	Fluad Quadrivalent (2020/2021)	$61.000	8/01/2020 – 07/31/2021
90662	Sanofi Pasteur	Fluzone High-Dose Quadrivalent (2020/2021)	$ 60.982	8/05/2020 – 07/31/2021
90672	MedImmune	FluMist Quadrivalent (2020/2021)	$26.876	8/12/2020 – 07/31/2021
90674	Seqirus	Flucelvax Quadrivalent (2020/2021) (Pres Free)	$29.228	8/06/2020 – 07/31/2021
90682	Sanofi Pasteur	Flublok Quadrivalent (2020/2021)	$60.982	8/01/2020 – 07/31/2021
90685	Sanofi Pasteur Seqirus	Fluzone Quadrivalent 0.25ml  (2020/2021) (Pres Free) Afluria Quadrivalent 0.25ml (2020/2021) (Pres Free)	$21.129	8/01/2020 – 07/31/2021
90686	GlaxoSmithKline Sanofi Pasteur Seqirus	Fluarix Quadrivalent (2020/2021) (Pres free) Flulaval Quadrivalent (2020/2021) (Pres Free) Fluzone Quadrivalent  (2020/2021) (Pres Free) Afluria Quadrivalent (2020/2021) (Pres Free)	$19.581	08/01/2020 – 07/31/2021
90687	Sanofi Pasteur Seqirus	Fluzone Quadrivalent  0.25ml (2020/2021) Afluria Quadrivalent 0.25ml (2020/2021)	$9.584	8/01/2020 – 07/31/2021
90688	Sanofi Pasteur Seqirus	Fluzone Quadrivalent (2020/2021) Afluria Quadrivalent (2020/2021)	$19.168	8/01/2020 – 07/31/2021
90756	Seqirus	Flucelvax Quadrivalent (2020/2021)	$27.695	8/06/2020 – 07/31/2021

Payment limits and effective dates for newly approved and marketed influenza vaccines will be posted to this webpage.

During the flu season, if the FDA approves new vaccines, we’ll update our pricing table.

Get more information on frequency & coverage, coding, and billing.