Adjuvanted flu vaccine, preservative-free, 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

Vacc aiiv4 no prsrv 0.5ml im

Payers reporting CPT 90694

Payer pricing summary

Low

$46

Average

$162

Median

$94

High

$1.3k

Payer rate distribution

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#
1	Clover facility · percent of total billed charges · outpatientfrom % of charges	1	$138	$138	—	—	1–10	$138 – $138
2	Cigna fee schedule · outpatient · +17 other terms	264	$117	$207	$210	101%	—	$0 – $2.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	240	$67	$73	$65	89%	—	$0 – $442
4	UnitedHealthcare fee schedule · outpatient · +25 other terms	210	$77	$143	$790	553%	—	$0 – $11.6k
5	Aetna fee schedule · outpatient · +22 other terms	139	$77	$245	$895	365%	—	$1 – $8.4k
6	Anthem fee schedule · outpatient · +19 other terms	100	$82	$91	$44	49%	—	$9 – $322
7	Humana fee schedule · outpatient · +17 other terms	72	$67	$92	$73	80%	—	$0 – $293
8	MultiPlan fee schedule · inpatient · +12 other terms	41	$96	$126	$84	66%	—	$0 – $329
9	Medica fee schedule · outpatient · +14 other terms	40	$88	$95	$59	63%	—	$0 – $211
10	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$73	$66	$22	33%	—	$27 – $115
11	Molina facility · case rate · outpatient · +19 other terms	29	$15	$17	$7	43%	—	$6 – $36
12	Regence facility · fee schedule · both · +9 other terms	24	$68	$109	$67	62%	—	$66 – $303
13	Carefirst facility · fee schedule · both · +4 other terms	22	$68	$97	$58	60%	—	$68 – $303
14	Excellus facility · fee schedule · both · +5 other terms	22	$68	$93	$54	58%	—	$68 – $303
15	Highmark facility · fee schedule · both · +8 other terms	22	$68	$97	$58	60%	—	$68 – $303
16	Premera facility · fee schedule · both · +5 other terms	22	$68	$97	$58	60%	—	$68 – $303
17	Wellmark facility · fee schedule · both · +9 other terms	22	$68	$90	$52	58%	—	$68 – $303
18	Phcs fee schedule · inpatient · +10 other terms	21	$74	$129	$72	56%	—	$31 – $310
19	Healthpartners fee schedule · outpatient · +7 other terms	19	$92	$94	$7	7%	—	$90 – $122
20	Aetna Better Health fee schedule · outpatient · +8 other terms	17	$80	$83	$5	6%	—	$80 – $91
21	Caresource facility · case rate · outpatient · +11 other terms	15	$9	$10	$2	23%	—	$6 – $16
22	Ambetter other · outpatient · +13 other terms	14	$1.4k	$1.2k	$710	61%	—	$39 – $1.7k
23	Sanford Health Plan fee schedule · outpatient · +4 other terms	14	$75	$72	$50	69%	—	$0 – $220
24	Optum facility · case rate · outpatient · +9 other terms	13	$9	$11	$4	34%	—	$8 – $18
25	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$61	$66	$18	27%	—	$31 – $79

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