Respiratory syncytial virus antibody injection, one 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

NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY

Payers reporting CPT 90381

Payer pricing summary

Low

$14

Average

$1.0k

Median

$835

High

$3.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	431	$1.2k	$1.2k	$703	60%	—	$0 – $5.9k
2	Cigna fee schedule · outpatient · +23 other terms	229	$898	$1.7k	$1.2k	72%	—	$0 – $5.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	221	$1.1k	$1.4k	$850	60%	—	$0 – $5.1k
4	Humana fee schedule · outpatient · +23 other terms	123	$534	$643	$351	54%	—	$0 – $1.9k
5	Aetna fee schedule · outpatient · +27 other terms	103	$594	$1.1k	$864	80%	—	$0 – $8.4k
6	Anthem fee schedule · outpatient · +24 other terms	57	$612	$698	$816	117%	—	$0 – $5.9k
7	MultiPlan fee schedule · inpatient · +17 other terms	39	$1.1k	$1.5k	$1.4k	95%	—	$0 – $5.8k
8	Medica fee schedule · outpatient · +17 other terms	38	$919	$1.0k	$440	42%	—	$210 – $2.5k
9	Molina facility · case rate · outpatient · +24 other terms	38	$784	$1.0k	$430	43%	—	$544 – $2.2k
10	Tricare facility · fee schedule · outpatient · +15 other terms	31	$590	$651	$548	84%	—	$0 – $2.2k
11	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$2.1k	$1.9k	$650	33%	—	$797 – $3.4k
12	Caresource fee schedule · outpatient · +17 other terms	28	$551	$243	$252	104%	—	$37 – $551
13	Medcost percent of total billed charges · outpatientfrom % of charges · +7 other terms	25	$1.7k	$1.6k	$710	43%	—	$444 – $3.6k
14	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	20	$2.5k	$3.0k	$1.2k	41%	—	$1.7k – $6.8k
15	Wellmark fee schedule · outpatient · +18 other terms	20	$520	$522	$8	2%	—	$520 – $556
16	Highmark fee schedule · outpatient · +17 other terms	19	$741	$749	$289	39%	—	$14 – $3.3k
17	Carefirst facility · fee schedule · both · +12 other terms	16	$556	$741	$382	52%	—	$556 – $1.9k
18	Excellus facility · fee schedule · both · +13 other terms	16	$556	$741	$382	52%	—	$556 – $1.9k
19	Premera facility · fee schedule · both · +10 other terms	16	$556	$741	$382	52%	—	$556 – $1.9k
20	Regence facility · fee schedule · both · +11 other terms	16	$556	$741	$382	52%	—	$556 – $1.9k
21	Kaiser fee schedule · outpatient · +19 other terms	15	$713	$1.1k	$1.3k	123%	—	$0 – $4.1k
22	Devoted facility · fee schedule · outpatient · +9 other terms	14	$1.6k	$2.3k	$4.0k	171%	—	$120 – $20k
23	Medicaid fee schedule · both · +13 other terms	14	$825	$751	$187	25%	—	$588 – $1.0k
24	Aetna Better Health fee schedule · outpatient · +13 other terms	13	$520	$294	$244	83%	—	$30 – $520
25	Optum facility · case rate · outpatient · +18 other terms	13	$1.1k	$1.2k	$376	33%	—	$517 – $1.9k

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