CPT 0111A

COVID-19 vaccine first dose for children (Moderna)

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 25mcg/0.25ml 1st

Payer pricing summary

Low

Average

$92

Median

$48

High

$944

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 14 Fee schedule 30 Per diem 8 Percent of billed charges 34 Other 18

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	37	$76	$88	$51	58%	—	$24 – $177
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	37	$47	$48	$18	38%	—	$11 – $76
3	Anthem fee schedule · outpatient · +3 other terms	22	$27	$28	$7	24%	—	$18 – $72
4	Humana fee schedule · outpatient · +3 other terms	19	$52	$64	$32	50%	—	$13 – $103
5	MultiPlan fee schedule · inpatient · +3 other terms	18	$66	$68	$5	7%	—	$58 – $75
6	Medica fee schedule · outpatient · +1 other terms	17	$58	$60	$13	21%	—	$26 – $76
7	Wellmark fee schedule · both · +1 other terms	13	$40	$40	—	—	—	$40 – $40
8	Aetna fee schedule · outpatient · +4 other terms	11	$47	$51	$19	37%	—	$16 – $93
9	Phcs fee schedule · inpatient · +1 other terms	10	$55	$62	$9	14%	—	$55 – $73
10	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$40	$40	$0	1%	—	$40 – $41

Page 1 of 3 · 30 payers

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