CPT 90393
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
Vaccina ig im
Low
$0
Average
$109
Median
$114
High
$226
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 4.0× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 29 | $121 | $110 | $41 | 37% | — | $56 – $218 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 19 | $128 | $124 | $47 | 38% | — | $10 – $222 |
| 3 | Anthem facility · case rate · outpatient · +1 other terms | 15 | $128 | $140 | $33 | 23% | — | $87 – $218 |
| 4 | Caresource facility · case rate · outpatient | 15 | $131 | $141 | $32 | 23% | — | $87 – $222 |
| 5 | Optum facility · case rate · outpatient | 13 | $116 | $122 | $37 | 31% | — | $62 – $197 |
| 6 | Humana facility · case rate · outpatient | 8 | $65 | $68 | $3 | 5% | — | $65 – $72 |
| 7 | Aetna Better Health facility · case rate · outpatient | 7 | $78 | $78 | $1 | 1% | — | $75 – $79 |
| 8 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $72 | $73 | $2 | 3% | — | $72 – $78 |
| 9 | Aetna facility · case rate · outpatient · +1 other terms | 6 | $75 | $80 | $39 | 49% | — | $12 – $152 |
| 10 | Blue Cross Blue Shield facility · case rate · outpatient | 4 | $207 | $203 | $65 | 32% | — | $133 – $299 |
← Hospitals reporting CPT 90393 · Snapshot 20261113T090226Z-3ce6c0b8