Tick-borne encephalitis 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

TICK-BORNE ENCEPHALITIS VACCINE 2.4 MCG/0.5 ML IM SYRINGE (TICOVAC)

Payers reporting CPT 90627

Payer pricing summary

Low

$110

Average

$865

Median

$446

High

$7.6k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +14 other terms	204	$549	$978	$727	74%	—	$310 – $2.9k
2	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	158	$661	$792	$397	50%	—	$1 – $1.9k
3	Aetna fee schedule · outpatient · +16 other terms	91	$354	$809	$1.2k	147%	—	$10 – $8.4k
4	Anthem fee schedule · outpatient · +13 other terms	60	$334	$420	$205	49%	—	$166 – $1.4k
5	UnitedHealthcare fee schedule · outpatient · +17 other terms	43	$233	$249	$162	65%	—	$16 – $659
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1.1k	$1.0k	$334	33%	—	$410 – $1.7k
7	Molina facility · case rate · outpatient · +14 other terms	29	$26	$60	$45	75%	—	$11 – $175
8	Caresource fee schedule · outpatient · +4 other terms	23	$319	$326	$16	5%	—	$304 – $357
9	Humana fee schedule · outpatient · +12 other terms	18	$297	$323	$128	40%	—	$174 – $862
10	MultiPlan percent of total billed charges · bothfrom % of charges · +7 other terms	18	$1.4k	$1.4k	$221	16%	—	$577 – $1.9k
11	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	17	$433	$429	$24	6%	—	$331 – $442
12	Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	17	$433	$429	$24	6%	—	$331 – $442
13	Healthpartners professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	16	$429	$424	$21	5%	—	$331 – $433
14	Ucare professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	14	$433	$429	$29	7%	—	$342 – $456
15	Wellmark fee schedule · both · +3 other terms	14	$304	$305	$8	2%	—	$295 – $351
16	Optum facility · case rate · outpatient · +7 other terms	13	$15	$26	$23	90%	—	$13 – $79
17	Bcbs Nj fee schedule · outpatient	12	$288	$288	—	—	—	$288 – $288
18	Medica fee schedule · outpatient · +9 other terms	12	$573	$587	$143	24%	—	$356 – $758
19	Aetna Better Health fee schedule · outpatient · +5 other terms	11	$304	$314	$13	4%	—	$304 – $330
20	Highmark fee schedule · outpatient · +3 other terms	11	$406	$402	$119	30%	—	$14 – $441
21	Premera fee schedule · outpatient · +3 other terms	9	$624	$573	$95	17%	—	$422 – $742
22	Bcbs Mn fee schedule · both · +2 other terms	8	$298	$298	$3	1%	—	$295 – $301
23	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$92	$93	$3	3%	—	$92 – $100
24	First Health facility · fee schedule · outpatient · +7 other terms	4	$717	$717	—	—	—	$717 – $717
25	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$381	$381	—	—	—	$381 – $381

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