Moderna COVID-19 vaccine, third dose administration

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Adm Sarscov2 100mcg/0.5ml 3rd

Payers reporting CPT 0013A

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.

Filter by billing methodology

Filter by billing class

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1	UnitedHealthcare fee schedule · outpatient · +22 other terms	43	$41.40	$45.56	$10.78 – $75.84
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	39	$68.55	$84.76	$29.07 – $177.20
3	Molina facility · case rate · outpatient · +9 other terms	27	$25.15	$25.10	$10.84 – $56.80
4	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$42.92	$34.99	$9.88 – $46.40
5	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12.00	$12.84	$6.40 – $24.80
6	Anthem fee schedule · outpatient · +12 other terms	24	$18.24	$19.48	$15.87 – $72.25
7	Humana fee schedule · outpatient · +10 other terms	24	$68.94	$87.18	$15.00 – $155.23
8	MultiPlan fee schedule · outpatient · +14 other terms	18	$65.45	$64.82	$20.00 – $75.75
9	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	15	$52.00	$52.79	$52.00 – $61.60
10	Caresource facility · case rate · outpatient · +7 other terms	15	$15.76	$16.93	$10.53 – $26.74
11	Medica fee schedule · outpatient · +1 other terms	15	$70.50	$66.89	$25.90 – $80.61
12	Aetna fee schedule · both · +17 other terms	14	$39.89	$39.80	$29.12 – $45.00
13	Cigna fee schedule · outpatient · +15 other terms	13	$40.40	$60.03	$40.00 – $100.00
14	Optum facility · case rate · outpatient · +10 other terms	13	$14.90	$17.52	$13.16 – $25.75
15	Wellmark fee schedule · both · +6 other terms	13	$40.00	$40.00	$40.00 – $40.00
16	Bcbs Nc fee schedule · both	11	$67.80	$67.80	$67.80 – $67.80
17	Phcs fee schedule · inpatient · +5 other terms	10	$54.67	$61.81	$54.67 – $72.52
18	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$42.67	$42.50	$38.00 – $44.00
19	Aetna Better Health facility · case rate · outpatient · +4 other terms	7	$32.53	$32.21	$29.42 – $32.53
20	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$29.82	$30.21	$29.82 – $32.54
21	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$40.48	$40.46	$40.00 – $40.72
22	First Health fee schedule · outpatient · +11 other terms	5	$45.88	$65.14	$45.88 – $122.40
23	Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	5	$52.72	$42.26	$0.01 – $77.21
24	Regence fee schedule · outpatient · +4 other terms	5	$68.86	$68.86	$52.60 – $81.84
25	Highmark facility · fee schedule · outpatient · +5 other terms	4	$56.57	$60.99	$17.11 – $125.88

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