CPT 0134A

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

(Ia) HC Admin Moderna Covid-19 Vaccine Bivalent Bo

Payer pricing summary

Low

$13

Average

$109

Median

$62

High

$1.2k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	87	$125	$127	$53	42%	—	$1 – $248
2	UnitedHealthcare fee schedule · outpatient · +23 other terms	39	$47	$47	$19	40%	—	$1 – $76
3	Anthem fee schedule · both · +13 other terms	28	$39	$33	$11	33%	—	$0 – $39
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	Humana fee schedule · outpatient · +14 other terms	19	$45	$59	$34	57%	—	$13 – $103
7	MultiPlan fee schedule · outpatient · +12 other terms	19	$66	$67	$8	11%	—	$40 – $75
8	Medica fee schedule · outpatient · +3 other terms	17	$58	$60	$13	21%	—	$26 – $76
9	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	15	$52	$53	$2	5%	—	$52 – $62
10	Caresource facility · case rate · outpatient · +6 other terms	15	$16	$17	$4	23%	—	$11 – $27
11	Aetna fee schedule · both · +20 other terms	13	$40	$40	$3	7%	—	$34 – $58
12	Optum facility · case rate · outpatient · +9 other terms	13	$15	$18	$5	27%	—	$13 – $26
13	Wellmark fee schedule · both · +5 other terms	13	$40	$40	—	—	—	$40 – $40
14	Phcs fee schedule · inpatient · +5 other terms	10	$55	$62	$9	14%	—	$55 – $73
15	Aetna Better Health facility · case rate · outpatient · +4 other terms	7	$33	$32	$1	3%	—	$29 – $33
16	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$30	$30	$1	3%	—	$30 – $33
17	Cigna fee schedule · outpatient · +12 other terms	7	$46	$56	$26	46%	—	$1 – $86
18	WellCare facility · other · outpatient · +7 other terms	6	$56	$56	$2	3%	—	$50 – $56
19	Regence fee schedule · outpatient · +1 other terms	5	$69	$69	$11	16%	—	$53 – $82
20	Tricare facility · other · outpatient · +6 other terms	5	$56	$56	—	—	—	$56 – $56
21	Highmark facility · fee schedule · outpatient · +3 other terms	4	$159	$234	$155	66%	—	$41 – $552
22	Bcbs Ma fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46
23	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	3	$29	$30	$3	10%	—	$28 – $37
24	Oscar facility · other · outpatient · +4 other terms	3	$77	$65	$17	26%	—	$41 – $77
25	Bcbs Ks percent of total billed charges · outpatientfrom % of charges	2	$112	$112	—	—	—	$112 – $112

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