{"procedure":{"code_type":"CPT","code":"90672","lay_name":"Nasal spray flu vaccine, four-strain live","blurb":"Covers a live weakened four-strain influenza vaccine sprayed into the nose rather than injected; the charge is for the vaccine product, with administration billed separately.","slug":"cpt-90672-nasal-spray-flu-vaccine-four-strain-live","description":"LAIV4 VACCINE INTRANASAL","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"228","label":"Prophylactic vaccinations and inoculations","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-06-20","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.894377Z","n_priced_setters":3956,"n_filed":610,"n_usable":542,"n_not_usable":18,"n_labelled":27,"n_no_cash":23,"n_estimated":0,"n_states":45,"cash_p10":14.46,"cash_p20":19.0,"cash_p25":21.49,"cash_p50":35.0,"cash_p75":49.0,"cash_p80":50.96,"cash_p90":71.4,"cash_mean_trimmed":34.83,"gross_p50":52.5,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":38,"p20":31.9,"p50":50.96,"p80":50.96},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":8,"p20":null,"p50":null,"p80":null},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":44,"p20":26.55,"p50":30.79,"p80":53.95},{"state":"ID","n":10,"p20":18.85,"p50":23.0,"p80":23.0},{"state":"IL","n":25,"p20":21.49,"p50":28.0,"p80":53.0},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":12,"p20":33.75,"p50":37.1,"p80":53.0},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":27,"p20":25.0,"p50":32.0,"p80":41.75},{"state":"MN","n":31,"p20":23.25,"p50":32.3,"p80":38.8},{"state":"MO","n":10,"p20":7.56,"p50":16.25,"p80":50.15},{"state":"MS","n":11,"p20":15.25,"p50":16.75,"p80":25.2},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":21,"p20":24.7,"p50":28.83,"p80":30.0},{"state":"ND","n":8,"p20":null,"p50":null,"p80":null},{"state":"NE","n":17,"p20":12.25,"p50":17.64,"p80":35.7},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":37,"p20":26.0,"p50":45.34,"p80":59.6},{"state":"OH","n":37,"p20":37.05,"p50":37.05,"p80":102.0},{"state":"OK","n":11,"p20":49.0,"p50":49.0,"p80":49.0},{"state":"OR","n":22,"p20":1.74,"p50":17.6,"p80":33.0},{"state":"PA","n":20,"p20":39.28,"p50":45.0,"p80":83.0},{"state":"SC","n":13,"p20":36.55,"p50":45.5,"p80":45.5},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":10,"p20":7.0,"p50":7.0,"p80":15.0},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":18,"p20":10.45,"p50":17.0,"p80":31.5},{"state":"WI","n":23,"p20":17.88,"p50":44.55,"p80":58.13},{"state":"WV","n":11,"p20":26.5,"p50":29.5,"p80":55.36},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":352,"p20":19.5,"p50":36.55,"p80":53.0},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":175,"p20":17.88,"p50":33.0,"p80":50.0}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":120,"p20":17.28,"p50":30.79,"p80":46.34},{"key":"nonprofit","n":406,"p20":19.5,"p50":37.05,"p80":53.0}],"affiliation":[{"key":"affiliated","n":424,"p20":18.85,"p50":34.8,"p80":50.96},{"key":"independent","n":118,"p20":20.56,"p50":35.7,"p80":53.0}]},"histogram":[{"lo":9.0,"hi":11.33,"n":12},{"lo":11.33,"hi":14.26,"n":14},{"lo":14.26,"hi":17.96,"n":47},{"lo":17.96,"hi":22.61,"n":47},{"lo":22.61,"hi":28.46,"n":67},{"lo":28.46,"hi":35.83,"n":60},{"lo":35.83,"hi":45.11,"n":100},{"lo":45.11,"hi":56.79,"n":91},{"lo":56.79,"hi":71.49,"n":23},{"lo":71.49,"hi":90.0,"n":30}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-06-20","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:27:04.345090Z","checked_through":"2026-09-25T01:13:17.894377Z","n_priced_setters":3956,"n_filed":415,"n_usable":351,"n_not_usable":15,"n_labelled":27,"n_no_cash":22,"n_estimated":0,"n_states":40,"cash_p10":15.25,"cash_p20":20.58,"cash_p25":22.8,"cash_p50":37.21,"cash_p75":50.96,"cash_p80":53.0,"cash_p90":78.52,"cash_mean_trimmed":37.31,"gross_p50":53.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":30,"p20":31.9,"p50":50.96,"p80":50.96},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":29,"p20":28.0,"p50":36.83,"p80":56.55},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":21,"p20":21.49,"p50":33.0,"p80":114.48},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":20,"p20":26.32,"p50":40.15,"p80":41.75},{"state":"MN","n":18,"p20":18.02,"p50":38.8,"p80":46.56},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":14,"p20":24.7,"p50":28.83,"p80":28.83},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":14.46,"p50":17.64,"p80":20.34},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":28,"p20":26.0,"p50":45.34,"p80":78.52},{"state":"OH","n":36,"p20":37.05,"p50":37.05,"p80":102.0},{"state":"OK","n":10,"p20":49.0,"p50":49.0,"p80":49.0},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":19,"p20":45.0,"p50":45.0,"p80":90.0},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":9,"p20":null,"p50":null,"p80":null},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":12,"p20":13.15,"p50":34.73,"p80":53.11},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":253,"p20":21.49,"p50":38.7,"p80":53.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":90,"p20":19.0,"p50":34.0,"p80":46.56}],"ownership":[{"key":"for_profit","n":11,"p20":null,"p50":null,"p80":null},{"key":"government","n":58,"p20":18.02,"p50":28.83,"p80":45.0},{"key":"nonprofit","n":281,"p20":21.49,"p50":38.8,"p80":53.0}],"affiliation":[{"key":"affiliated","n":293,"p20":20.8,"p50":37.25,"p80":53.0},{"key":"independent","n":58,"p20":20.0,"p50":32.9,"p80":48.0}]},"histogram":[{"lo":11.27,"hi":14.05,"n":12},{"lo":14.05,"hi":17.51,"n":14},{"lo":17.51,"hi":21.82,"n":42},{"lo":21.82,"hi":27.2,"n":26},{"lo":27.2,"hi":33.9,"n":42},{"lo":33.9,"hi":42.26,"n":57},{"lo":42.26,"hi":52.67,"n":69},{"lo":52.67,"hi":65.65,"n":28},{"lo":65.65,"hi":81.83,"n":11},{"lo":81.83,"hi":102.0,"n":23}],"previous":null}},"related":[{"code_type":"CPT","code":"90471","lay_name":"Giving a vaccine by injection, first shot","slug":"cpt-90471-giving-a-vaccine-by-injection-first-shot"},{"code_type":"CPT","code":"90472","lay_name":"Giving a vaccine by injection, each additional shot","slug":"cpt-90472-giving-a-vaccine-by-injection-each-additional-shot"},{"code_type":"CPT","code":"90715","lay_name":"Tetanus, diphtheria and whooping cough booster shot","slug":"cpt-90715-tetanus-diphtheria-and-whooping-cough-booster-shot"},{"code_type":"CPT","code":"90675","lay_name":"Rabies vaccine, injected into muscle","slug":"cpt-90675-rabies-vaccine-injected-into-muscle"},{"code_type":"CPT","code":"90656","lay_name":"Flu shot, full dose, preservative free","slug":"cpt-90656-flu-shot-full-dose-preservative-free"},{"code_type":"CPT","code":"90707","lay_name":"Measles, mumps and rubella shot","slug":"cpt-90707-measles-mumps-and-rubella-shot"},{"code_type":"CPT","code":"90732","lay_name":"Pneumonia shot, 23-strain polysaccharide","slug":"cpt-90732-pneumonia-shot-23-strain-polysaccharide"},{"code_type":"CPT","code":"90375","lay_name":"Rabies immune globulin shot","slug":"cpt-90375-rabies-immune-globulin-shot"},{"code_type":"CPT","code":"90744","lay_name":"Hepatitis B vaccine, child or teen dose, single shot","slug":"cpt-90744-hepatitis-b-vaccine-child-or-teen-dose-single-shot"},{"code_type":"CPT","code":"90746","lay_name":"Hepatitis B vaccine, adult dose, one shot","slug":"cpt-90746-hepatitis-b-vaccine-adult-dose-one-shot"},{"code_type":"CPT","code":"90677","lay_name":"Pneumonia vaccine, 20-strain conjugate","slug":"cpt-90677-pneumonia-vaccine-20-strain-conjugate"},{"code_type":"CPT","code":"90700","lay_name":"Childhood diphtheria, tetanus, whooping cough shot","slug":"cpt-90700-childhood-diphtheria-tetanus-whooping-cough-shot"}]}