Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 2nd Dose
50 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 56 | $57.07 | $93.06 | $28.39 – $208.40 |
| 2 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 50 | $42.33 | $44.90 | $10.22 – $71.32 |
| 3 | Aetna fee schedule · both · +18 other terms | 32 | $39.89 | $40.13 | $29.12 – $94.00 |
| 4 | Anthem fee schedule · outpatient · +15 other terms | 31 | $18.24 | $20.76 | $15.87 – $72.25 |
| 5 | Humana fee schedule · outpatient · +12 other terms | 27 | $56.51 | $83.47 | $19.24 – $155.23 |
| 6 | Molina facility · case rate · outpatient · +9 other terms | 27 | $25.15 | $25.10 | $10.84 – $56.80 |
| 7 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $42.92 | $34.99 | $9.88 – $46.40 |
| 8 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 25 | $12.00 | $12.84 | $6.40 – $24.80 |
| 9 | MultiPlan fee schedule · outpatient · +13 other terms | 20 | $62.05 | $62.48 | $20.00 – $75.75 |
| 10 | Medica fee schedule · outpatient · +2 other terms | 17 | $62.64 | $62.23 | $25.20 – $73.00 |
| 11 | Caresource facility · case rate · outpatient · +7 other terms | 15 | $15.76 | $16.93 | $10.53 – $26.74 |
| 12 | Cigna fee schedule · outpatient · +18 other terms | 14 | $46.33 | $59.81 | $40.00 – $100.00 |
| 13 | Optum facility · case rate · outpatient · +10 other terms | 13 | $14.90 | $17.52 | $13.16 – $25.75 |
| 14 | Wellmark fee schedule · both · +8 other terms | 13 | $40.00 | $40.00 | $40.00 – $40.00 |
| 15 | Phcs fee schedule · inpatient · +7 other terms | 10 | $51.83 | $59.32 | $51.83 – $70.56 |
| 16 | Bcbs Pa facility · fee schedule · outpatient · +1 other terms | 8 | $42.67 | $42.50 | $38.00 – $44.00 |
| 17 | Tricare facility · fee schedule · outpatient · +6 other terms | 8 | $77.00 | $91.77 | $1.00 – $302.00 |
| 18 | Aetna Better Health facility · case rate · outpatient · +7 other terms | 7 | $32.53 | $32.21 | $29.42 – $32.53 |
| 19 | Amerihealth Caritas facility · case rate · outpatient · +4 other terms | 7 | $29.82 | $30.21 | $29.82 – $32.54 |
| 20 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $40.48 | $40.46 | $40.00 – $40.72 |
| 21 | First Health fee schedule · outpatient · +13 other terms | 5 | $45.88 | $65.14 | $45.88 – $122.40 |
| 22 | Regence fee schedule · outpatient · +4 other terms | 5 | $68.86 | $68.86 | $52.60 – $81.84 |
| 23 | Highmark facility · fee schedule · outpatient · +6 other terms | 4 | $139.56 | $201.16 | $41.46 – $470.24 |
| 24 | Medicaid fee schedule · both · +5 other terms | 4 | $45.87 | $57.90 | $45.87 – $94.00 |
| 25 | Bcbs Ks percent of total billed charges · outpatientfrom % of charges | 3 | $106.09 | $120.11 | $106.09 – $148.16 |
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