CPT 0154A

COVID-19 bivalent vaccine booster 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 10 Mcg/0.2 Ml Addl Dose

Payer pricing summary

Low

$13

Average

$125

Median

$59

High

$1.5k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	88	$125	$127	$53	42%	—	$1 – $248
2	UnitedHealthcare fee schedule · outpatient · +21 other terms	38	$47	$47	$20	42%	—	$1 – $76
3	Anthem fee schedule · both · +11 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	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12	$13	$4	32%	—	$6 – $25
7	MultiPlan fee schedule · inpatient · +13 other terms	18	$66	$68	$5	7%	—	$58 – $75
8	Humana fee schedule · outpatient · +10 other terms	17	$52	$65	$31	48%	—	$13 – $103
9	Medica fee schedule · outpatient · +1 other terms	17	$58	$60	$13	21%	—	$26 – $76
10	Caresource facility · case rate · outpatient · +5 other terms	15	$16	$17	$4	23%	—	$11 – $27
11	Optum facility · case rate · outpatient · +8 other terms	13	$15	$18	$5	27%	—	$13 – $26
12	Wellmark fee schedule · both · +5 other terms	13	$40	$40	—	—	—	$40 – $40
13	Aetna fee schedule · both · +17 other terms	12	$40	$40	$1	3%	—	$34 – $40
14	Phcs fee schedule · inpatient · +7 other terms	10	$55	$62	$9	14%	—	$55 – $73
15	Aetna Better Health facility · case rate · outpatient · +6 other terms	7	$33	$32	$1	3%	—	$29 – $33
16	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$30	$30	$1	3%	—	$30 – $33
17	Cigna other · outpatient · +14 other terms	7	$43	$39	$16	40%	—	$18 – $62
18	Bcbs La other · outpatient · +1 other terms	6	$32	$32	$9	27%	—	$23 – $40
19	Devoted facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	5	$31	$45	$26	57%	—	$30 – $97
20	Regence fee schedule · outpatient · +1 other terms	5	$69	$69	$11	16%	—	$53 – $82
21	Highmark facility · fee schedule · outpatient · +3 other terms	4	$159	$234	$155	66%	—	$41 – $552
22	Tricare fee schedule · both · +3 other terms	4	$39	$39	—	—	—	$39 – $39
23	Bcbs Ma fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46
24	Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$61	$61	—	—	—	$61 – $61
25	WellCare other · outpatient · +6 other terms	3	$40	$40	—	—	—	$40 – $40

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