Cell-culture flu vaccine, 0.5 mL shot

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

Cciiv4 vac no prsv 0.5 ml im

Payers reporting CPT 90674

Payer pricing summary

Low

$19

Average

$117

Median

$55

High

$1.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +17 other terms	256	$52	$91	$70	77%	—	$0 – $457
2	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	224	$52	$62	$41	65%	—	$1 – $457
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	197	$34	$96	$828	862%	—	$0 – $11.6k
4	Aetna fee schedule · outpatient · +25 other terms	124	$34	$247	$1.0k	423%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +20 other terms	110	$50	$83	$83	99%	—	$0 – $234
6	Anthem fee schedule · outpatient · +20 other terms	108	$38	$45	$46	101%	—	$0 – $457
7	Molina fee schedule · outpatient · +20 other terms	39	$30	$30	$35	116%	—	$0 – $196
8	Highmark facility · fee schedule · outpatient · +12 other terms	32	$31	$40	$25	64%	—	$11 – $126
9	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	30	$16	$19	$10	52%	—	$10 – $61
10	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$92	$84	$28	33%	—	$34 – $145
11	Medica fee schedule · outpatient · +11 other terms	30	$42	$47	$24	50%	—	$8 – $90
12	MultiPlan fee schedule · outpatient · +14 other terms	28	$35	$32	$22	67%	—	$0 – $106
13	Regence fee schedule · outpatient · +9 other terms	20	$46	$50	$25	50%	—	$26 – $113
14	Healthpartners fee schedule · outpatient · +6 other terms	19	$41	$41	$3	7%	—	$40 – $54
15	Wellmark fee schedule · outpatient · +7 other terms	16	$30	$31	$2	6%	—	$30 – $34
16	Caresource facility · case rate · outpatient · +11 other terms	15	$9	$10	$2	23%	—	$6 – $16
17	Bcbs La fee schedule · outpatient · +2 other terms	13	$34	$33	$2	6%	—	$29 – $34
18	Optum facility · case rate · outpatient · +10 other terms	13	$9	$11	$4	34%	—	$8 – $18
19	Aetna Better Health fee schedule · outpatient · +12 other terms	12	$35	$104	$113	109%	—	$35 – $352
20	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$29	$30	$8	26%	—	$15 – $35
21	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$33	$33	$2	5%	—	$30 – $34
22	Medcost percent of total billed charges · inpatientfrom % of charges · +5 other terms	12	$93	$98	$22	23%	—	$51 – $157
23	Medicaid fee schedule · outpatient · +8 other terms	11	$155	$153	$63	41%	—	$46 – $226
24	Medical Mutual facility · fee schedule · outpatient · +9 other terms	11	$98	$701	$3.2k	457%	—	$57 – $17.6k
25	Tricare facility · fee schedule · outpatient · +9 other terms	11	$68	$3.2k	$10.3k	324%	—	$17 – $37.5k

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