Meningococcal B vaccine injection

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

Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im

Payers reporting CPT 90620

Payer pricing summary

Low

Average

$393

Median

$331

High

$1.1k

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +18 other terms	29	$237	$236	$14	6%	148–184	$224 – $330
2	Caresource fee schedule · outpatient · +17 other terms	49	$251	$247	$31	13%	2–20	$1 – $359
3	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	265	$427	$517	$325	63%	1–10	$0 – $1.9k
4	Anthem fee schedule · outpatient · +22 other terms	109	$285	$318	$196	62%	1–10	$3 – $2.8k
5	UnitedHealthcare fee schedule · outpatient · +30 other terms	509	$469	$435	$232	53%	—	$0 – $1.6k
6	Cigna fee schedule · outpatient · +26 other terms	291	$398	$667	$476	71%	—	$0 – $2.3k
7	Humana fee schedule · outpatient · +24 other terms	191	$244	$471	$454	96%	—	$1 – $1.7k
8	Aetna fee schedule · outpatient · +29 other terms	149	$268	$501	$758	151%	—	$0 – $8.4k
9	MultiPlan fee schedule · inpatient · +18 other terms	63	$583	$649	$401	62%	—	$4 – $2.4k
10	Medica fee schedule · outpatient · +17 other terms	53	$255	$439	$148	34%	—	$119 – $802
11	Molina fee schedule · outpatient · +25 other terms	52	$179	$218	$120	55%	—	$1 – $619
12	Tricare facility · fee schedule · outpatient · +16 other terms	39	$251	$171	$219	128%	—	$0 – $897
13	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	30	$16	$60	$74	124%	—	$10 – $266
14	Highmark facility · fee schedule · outpatient · +19 other terms	29	$207	$294	$255	87%	—	$11 – $1.1k
15	Medcost facility · percent of total billed charges · bothfrom % of charges · +7 other terms	29	$272	$332	$183	55%	—	$122 – $1.0k
16	Regence facility · fee schedule · both · +15 other terms	28	$237	$303	$153	50%	—	$110 – $770
17	Premera facility · fee schedule · both · +10 other terms	27	$237	$306	$152	50%	—	$148 – $770
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$654	$580	$92	16%	—	$454 – $707
19	Carefirst facility · fee schedule · both · +12 other terms	26	$237	$307	$150	49%	—	$223 – $770
20	Excellus facility · fee schedule · both · +12 other terms	26	$237	$297	$139	47%	—	$223 – $770
21	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$873	$819	$219	27%	—	$138 – $1.4k
22	First Health fee schedule · outpatient · +19 other terms	25	$595	$618	$422	68%	—	$0 – $1.9k
23	Medicaid facility · fee schedule · outpatient · +16 other terms	24	$196	$170	$56	33%	—	$10 – $236
24	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	21	$621	$733	$367	50%	—	$376 – $1.7k
25	Kaiser fee schedule · outpatient · +20 other terms	19	$508	$480	$436	91%	—	$3 – $2.0k

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