Meningococcal B vaccine (MenB-FHbp) 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

N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE

Payers reporting CPT 90621

Payer pricing summary

Low

$75

Average

$313

Median

$262

High

$928

Payer rate distribution

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#
1	Bcbs Ny fee schedule · both · +1 other terms	1	$200	$200	—	—	1–10	$200 – $200
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	447	$421	$411	$217	53%	—	$0 – $1.6k
3	Cigna fee schedule · outpatient · +19 other terms	241	$328	$603	$404	67%	—	$0 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	220	$445	$593	$666	112%	—	$0 – $5.6k
5	Humana fee schedule · outpatient · +19 other terms	170	$196	$401	$356	89%	—	$1 – $1.2k
6	Aetna fee schedule · outpatient · +26 other terms	122	$215	$481	$752	156%	—	$0 – $8.4k
7	Anthem fee schedule · outpatient · +22 other terms	74	$228	$286	$257	90%	—	$71 – $4.1k
8	Caresource fee schedule · outpatient · +15 other terms	42	$202	$187	$67	36%	—	$1 – $244
9	Molina facility · case rate · outpatient · +24 other terms	37	$88	$55	$43	77%	—	$11 – $175
10	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$707	$642	$214	33%	—	$263 – $1.1k
11	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	25	$233	$274	$143	52%	—	$111 – $788
12	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	23	$165	$116	$83	71%	—	$10 – $266
13	Tricare facility · fee schedule · outpatient · +14 other terms	23	$70	$128	$172	135%	—	$0 – $645
14	Regence facility · fee schedule · both · +12 other terms	22	$207	$257	$136	53%	—	$94 – $733
15	Excellus facility · fee schedule · both · +10 other terms	21	$207	$256	$124	48%	—	$160 – $733
16	Premera facility · fee schedule · both · +6 other terms	21	$207	$261	$135	52%	—	$120 – $733
17	Carefirst facility · fee schedule · both · +7 other terms	20	$207	$263	$133	50%	—	$160 – $733
18	Highmark facility · fee schedule · both · +16 other terms	20	$207	$264	$133	50%	—	$160 – $733
19	Wellmark facility · fee schedule · both · +12 other terms	20	$207	$250	$120	48%	—	$160 – $733
20	Aetna Better Health fee schedule · outpatient · +12 other terms	18	$200	$179	$32	18%	—	$139 – $211
21	Kaiser facility · fee schedule · both · +15 other terms	16	$207	$183	$170	93%	—	$14 – $733
22	Medicaid fee schedule · both · +10 other terms	16	$129	$182	$72	39%	—	$76 – $260
23	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	15	$622	$763	$414	54%	—	$460 – $1.9k
24	Medica fee schedule · outpatient · +14 other terms	14	$334	$343	$116	34%	—	$99 – $485
25	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	13	$404	$401	$66	16%	—	$286 – $487

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