Meningococcal ACWY vaccine (tetanus toxoid conjugate)

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

Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use

Payers reporting CPT 90619

Payer pricing summary

Low

$20

Average

$773

Median

$208

High

$9.6k

Payer rate distribution

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#
1	Ambetter fee schedule · both · +12 other terms	10	$293	$207	$106	51%	5–50	$35 – $293
2	UnitedHealthcare fee schedule · outpatient · +29 other terms	410	$350	$349	$168	48%	2–20	$0 – $1.3k
3	Bcbs Ny fee schedule · both · +1 other terms	1	$181	$181	—	—	1–10	$181 – $181
4	Cigna fee schedule · outpatient · +21 other terms	227	$297	$524	$355	68%	—	$0 – $1.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	190	$265	$330	$203	62%	—	$0 – $1.1k
6	Aetna fee schedule · outpatient · +24 other terms	112	$204	$459	$775	169%	—	$0 – $8.4k
7	Anthem fee schedule · outpatient · +20 other terms	67	$189	$217	$106	49%	—	$79 – $813
8	Molina facility · case rate · outpatient · +20 other terms	37	$88	$56	$42	75%	—	$11 – $175
9	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$372	$340	$110	32%	—	$137 – $579
10	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	28	$12	$40	$68	172%	—	$10 – $266
11	Caresource fee schedule · outpatient · +12 other terms	26	$176	$135	$71	52%	—	$37 – $205
12	Highmark facility · fee schedule · outpatient · +12 other terms	25	$12	$165	$149	91%	—	$11 – $616
13	Humana facility · fee schedule · outpatient · +20 other terms	25	$160	$221	$231	105%	—	$14 – $1.1k
14	Tricare facility · fee schedule · outpatient · +14 other terms	25	$182	$142	$74	52%	—	$0 – $205
15	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	23	$106	$367	$353	96%	—	$43 – $1.3k
16	Aetna Better Health fee schedule · outpatient · +13 other terms	19	$175	$162	$44	27%	—	$34 – $183
17	Regence facility · fee schedule · both · +8 other terms	19	$172	$200	$104	52%	—	$82 – $575
18	Premera facility · fee schedule · both · +6 other terms	18	$172	$207	$104	50%	—	$109 – $575
19	Carefirst facility · fee schedule · both · +5 other terms	17	$172	$210	$103	49%	—	$172 – $575
20	Excellus facility · fee schedule · both · +7 other terms	17	$172	$204	$94	46%	—	$172 – $575
21	Wellmark facility · fee schedule · both · +10 other terms	17	$172	$199	$90	45%	—	$172 – $575
22	Medicaid fee schedule · both · +11 other terms	16	$204	$199	$57	29%	—	$35 – $313
23	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	15	$120	$342	$378	111%	—	$116 – $1.3k
24	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	14	$336	$299	$67	22%	—	$180 – $354
25	Medica fee schedule · outpatient · +11 other terms	14	$290	$324	$86	27%	—	$161 – $421

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