COVID-19 bivalent vaccine additional dose

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

Imm Admn Sarscov2 Bvl 30 Mcg/0.3 Ml Addl Dose

Payers reporting CPT 0124A

Payer pricing summary

Low

$13

Average

$107

Median

$64

High

$1.1k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	88	$125	$129	$60	47%	—	$1 – $626
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	42	$47	$47	$20	44%	—	$1 – $120
3	Anthem fee schedule · both · +14 other terms	28	$39	$33	$11	33%	—	$0 – $39
4	Molina facility · case rate · outpatient · +10 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	Aetna fee schedule · both · +18 other terms	25	$40	$39	$4	10%	—	$11 – $50
7	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12	$13	$4	32%	—	$6 – $25
8	MultiPlan fee schedule · outpatient · +13 other terms	19	$65	$66	$8	12%	—	$40 – $75
9	Humana fee schedule · outpatient · +15 other terms	18	$48	$64	$32	50%	—	$13 – $103
10	Medica fee schedule · outpatient · +2 other terms	17	$58	$60	$13	22%	—	$26 – $76
11	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +5 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 · +7 other terms	10	$55	$62	$9	14%	—	$55 – $73
16	Aetna Better Health facility · case rate · outpatient · +6 other terms	7	$33	$32	$1	3%	—	$29 – $33
17	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$30	$30	$1	3%	—	$30 – $33
18	Cigna fee schedule · outpatient · +14 other terms	7	$46	$61	$17	28%	—	$40 – $86
19	Regence fee schedule · both · +2 other terms	6	$149	$138	$27	19%	—	$79 – $155
20	Highmark facility · fee schedule · outpatient · +6 other terms	4	$159	$234	$155	66%	—	$41 – $552
21	Tricare fee schedule · both · +7 other terms	4	$39	$39	—	—	—	$39 – $39
22	Bcbs Ma fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46
23	Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$61	$61	—	—	—	$61 – $61
24	Oscar facility · other · outpatient · +3 other terms	3	$77	$59	$18	31%	—	$39 – $77
25	Bcbs Ks percent of total billed charges · outpatientfrom % of charges	2	$112	$112	—	—	—	$112 – $112

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