Moderna low-dose COVID-19 booster vaccine 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 50mcg/0.25mlbst -- Moderna Low Dose

Payers reporting CPT 0064A

Payer pricing summary

Low

Average

$71

Median

$48

High

$592

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	48	$44	$45	$17	37%	—	$11 – $76
2	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	41	$61	$83	$50	60%	—	$29 – $177
3	Humana fee schedule · outpatient · +14 other terms	28	$57	$82	$45	55%	—	$16 – $155
4	Molina facility · case rate · outpatient · +9 other terms	27	$25	$25	$10	41%	—	$11 – $57
5	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$43	$35	$9	27%	—	$10 – $46
6	Anthem fee schedule · outpatient · +14 other terms	25	$18	$20	$9	48%	—	$16 – $72
7	MultiPlan fee schedule · inpatient · +13 other terms	19	$65	$67	$7	11%	—	$44 – $76
8	Aetna fee schedule · outpatient · +18 other terms	18	$44	$41	$16	39%	—	$16 – $98
9	Medica fee schedule · outpatient · +3 other terms	17	$68	$66	$14	22%	—	$26 – $81
10	Cigna fee schedule · outpatient · +14 other terms	16	$41	$57	$21	37%	—	$40 – $100
11	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	15	$52	$53	$2	5%	—	$52 – $62
12	Caresource facility · case rate · outpatient · +6 other terms	15	$16	$17	$4	23%	—	$11 – $27
13	Optum facility · case rate · outpatient · +9 other terms	13	$15	$18	$5	27%	—	$13 – $26
14	Wellmark fee schedule · both · +6 other terms	13	$40	$40	—	—	—	$40 – $40
15	Phcs fee schedule · inpatient · +3 other terms	10	$55	$62	$9	14%	—	$55 – $73
16	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$43	$43	$2	5%	—	$38 – $44
17	Aetna Better Health facility · case rate · outpatient · +3 other terms	7	$33	$32	$1	3%	—	$29 – $33
18	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$30	$30	$1	3%	—	$30 – $33
19	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$40	$40	$0	1%	—	$40 – $41
20	First Health fee schedule · outpatient · +11 other terms	5	$46	$65	$30	46%	—	$46 – $122
21	Regence fee schedule · outpatient · +4 other terms	5	$69	$69	$11	16%	—	$53 – $82
22	Highmark facility · fee schedule · outpatient · +5 other terms	4	$57	$61	$29	48%	—	$17 – $126
23	Medicaid facility · case rate · outpatient · +4 other terms	4	$34	$34	$6	19%	—	$27 – $40
24	Bcbs Ma fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46
25	Oscar facility · other · outpatient · +4 other terms	3	$77	$64	$18	28%	—	$39 – $77

Page 1 of 2 · 49 payers