90660 Medicaid Rate by State

Flu vaccine, trivalent, live, nasal spray

35 state Medicaid programs publish a fee-for-service rate for 90660 (flu vaccine, trivalent, live, nasal spray), ranging from $4.00 in Hawaii to $34.17 in California.

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This page shows one representative rate per state for 90660. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

35

Median % of Medicare

--

Rate range

$4.00 - $34.17

90660 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$29.71----2026
Arkansas$18.40----2026
Arizona$30.58----2026
California$34.17----2026
Connecticut$29.71----2026
District of Columbia$29.71--Not required2025
Delaware$15.00----2026
Florida$24.70*----2025
Hawaii$4.00----2025
Iowa$25.65----2024
Idaho$25.67--Not required2026
Illinois$16.71----2025
Indiana$26.71----2025
Kansas$29.71----2025
Kentucky$29.14----2026
Maine$30.58----2026
Michigan$29.71----2026
Minnesota$30.58----2026
Missouri$5.35*--Not required2019
Mississippi$28.87----2024
North Carolina$26.20----2025
North Dakota$29.71--Not required2026
Nebraska$29.71----2026
New Hampshire$25.50--Not required2026
New Jersey$25.19--Not required2026
New Mexico$28.87----2025
Oklahoma$27.82----2026
Pennsylvania$10.00----2024
South Carolina$25.65----2025
Texas$27.20*----2026
Utah$29.71*--Not required2025
Virginia$29.71*----2025
Vermont$28.22----2026
Washington$29.71----2026
Wisconsin$25.44----2025

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related physician codes

Frequently asked questions

How much does Medicaid pay for 90660?

35 state Medicaid programs publish a fee-for-service rate for 90660 (flu vaccine, trivalent, live, nasal spray), ranging from $4.00 in Hawaii to $34.17 in California. The full table on this page lists every publishing state's current rate.

Which state pays the most for 90660?

California publishes the highest Medicaid rate for 90660 at $34.17. Hawaii publishes the lowest at $4.00.

Does 90660 require prior authorization under Medicaid?

No publishing state flags 90660 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.