CPT 0173A
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
Imm Admn Sarscov2 Bvl 3 Mcg/0.2 Ml 3rd Dose 6mo-4yrs
Low
$23
Average
$36
Median
$40
High
$40
Filter by billing methodology
Filter by billing class
8 hospital rates
iThe hospitals that file a Bcbs La rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | University Hospital & Clinics, Inc. Lafayette, LA percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 0173A · Snapshot 20261113T090226Z-3ce6c0b8