CPT 0094A

COVID-19 Moderna 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 50 Mcg/.5 Mlbst -- Moderna Booster

Payer pricing summary

Low

Average

$90

Median

$56

High

$687

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 14 Fee schedule 31 Per diem 7 Percent of billed charges 31 Other 9

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	37	$76	$88	$51	58%	—	$29 – $177
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	37	$47	$48	$18	38%	—	$11 – $76
3	Molina facility · case rate · outpatient · +10 other terms	27	$25	$25	$10	41%	—	$11 – $57
4	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$43	$35	$9	27%	—	$10 – $46
5	Anthem fee schedule · outpatient · +8 other terms	22	$18	$19	$9	49%	—	$16 – $72
6	Humana fee schedule · outpatient · +10 other terms	19	$45	$61	$33	55%	—	$13 – $103
7	MultiPlan fee schedule · inpatient · +11 other terms	18	$66	$68	$5	7%	—	$58 – $75
8	Medica fee schedule · outpatient · +2 other terms	17	$68	$66	$14	21%	—	$26 – $81
9	Caresource facility · case rate · outpatient · +3 other terms	15	$16	$17	$4	23%	—	$11 – $27
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	14	$52	$53	$2	5%	—	$52 – $62

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