Pneumococcal conjugate vaccine (13-valent) 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

Pcv13 vaccine im

Payers reporting CPT 90670

Payer pricing summary

Low

$139

Average

$383

Median

$330

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	648	$388	$405	$227	56%	—	$0 – $3.8k
2	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	321	$382	$449	$303	67%	—	$0 – $2.7k
3	Cigna fee schedule · outpatient · +25 other terms	313	$380	$613	$454	74%	—	$0 – $2.2k
4	Humana fee schedule · outpatient · +28 other terms	286	$258	$477	$763	160%	—	$0 – $8.3k
5	Aetna fee schedule · outpatient · +31 other terms	220	$266	$470	$727	155%	—	$0 – $8.4k
6	Anthem fee schedule · outpatient · +27 other terms	136	$293	$331	$187	56%	—	$32 – $1.7k
7	Molina fee schedule · outpatient · +28 other terms	77	$264	$312	$182	58%	—	$1 – $629
8	Caresource fee schedule · outpatient · +18 other terms	72	$258	$270	$80	30%	—	$131 – $466
9	Tricare facility · fee schedule · outpatient · +18 other terms	68	$251	$236	$229	97%	—	$0 – $1.6k
10	MultiPlan fee schedule · outpatient · +16 other terms	67	$624	$896	$1.2k	136%	—	$94 – $7.3k
11	Kaiser fee schedule · outpatient · +19 other terms	57	$258	$312	$275	88%	—	$1 – $1.7k
12	Highmark facility · fee schedule · outpatient · +18 other terms	50	$258	$507	$425	84%	—	$11 – $1.9k
13	WellCare facility · fee schedule · outpatient · +19 other terms	45	$193	$193	$85	44%	—	$2 – $368
14	Medica fee schedule · outpatient · +18 other terms	44	$443	$503	$205	41%	—	$34 – $929
15	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	39	$131	$121	$112	92%	—	$10 – $320
16	Devoted facility · fee schedule · outpatient · +15 other terms	39	$258	$304	$254	83%	—	$2 – $2.2k
17	Ambetter facility · fee schedule · outpatient · +15 other terms	34	$332	$405	$403	100%	—	$2 – $3.3k
18	Medicare facility · fee schedule · outpatient · +12 other terms	33	$205	$204	$290	142%	—	$2 – $2.2k
19	First Health fee schedule · outpatient · +17 other terms	27	$541	$585	$444	76%	—	$0 – $2.3k
20	Regence facility · fee schedule · both · +14 other terms	26	$258	$309	$117	38%	—	$109 – $735
21	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$816	$796	$216	27%	—	$149 – $1.3k
22	Aetna Better Health fee schedule · outpatient · +13 other terms	24	$266	$263	$17	7%	—	$215 – $303
23	Premera facility · fee schedule · both · +9 other terms	24	$258	$292	$123	42%	—	$96 – $735
24	Carefirst facility · fee schedule · both · +9 other terms	23	$258	$300	$119	40%	—	$195 – $735
25	Excellus facility · fee schedule · both · +12 other terms	23	$258	$292	$113	39%	—	$195 – $735

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