CPT 0164A
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.
Original text from hospital filings
Adm srscv2 bvl 10mcg/0.2ml b
Low
$13
Average
$111
Median
$55
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 80 | $125 | $128 | $53 | 41% | — | $32 – $248 |
| 2 | Molina facility · case rate · outpatient · +8 other terms | 28 | $26 | $26 | $10 | 41% | — | $11 – $57 |
| 3 | Anthem fee schedule · both · +9 other terms | 27 | $39 | $36 | $5 | 14% | — | $26 – $39 |
| 4 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 27 | $45 | $42 | $18 | 44% | — | $11 – $76 |
| 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 · +9 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 · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
← Hospitals reporting CPT 0164A · Snapshot 20261113T090226Z-3ce6c0b8