Tetanus vaccine injection, unscheduled

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

Fee Schedule

Payers reporting CPT 90703

Payer pricing summary

Low

$13

Average

$624

Median

$80

High

$5.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	24	$56	$81	$58	72%	—	$19 – $166
2	Anthem fee schedule · outpatient · +5 other terms	19	$48	$48	$4	7%	—	$7 – $71
3	Aetna fee schedule · outpatient · +11 other terms	6	$170	$118	$102	86%	—	$8 – $259
4	First Health fee schedule · both · +7 other terms	6	$19	$27	$17	62%	—	$19 – $64
5	Humana fee schedule · outpatient · +8 other terms	5	$203	$2.4k	$3.1k	131%	—	$8 – $8.3k
6	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +4 other terms	5	$30	$33	$10	31%	—	$23 – $45
7	Cigna other · both · +12 other terms	3	$88	$88	$1	1%	—	$85 – $89
8	Highmark facility · fee schedule · outpatient · +2 other terms	3	$43	$44	$2	4%	—	$43 – $48
9	UnitedHealthcare other · both · +12 other terms	3	$24	$39	$21	55%	—	$24 – $69
10	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$90	$90	—	—	—	$90 – $90
11	Kaiser fee schedule · both · +2 other terms	2	$30	$30	—	—	—	$30 – $30
12	Molina facility · fee schedule · outpatient · +3 other terms	2	$117	$117	$8	7%	—	$109 – $125
13	Phcs professional · percent of total billed charges · bothfrom % of charges · +2 other terms	2	$45	$45	—	—	—	$45 – $45
14	Ambetter fee schedule · both · +4 other terms	1	$64	$64	—	—	—	$64 – $64
15	Amerihealth Caritas fee schedule · both · +1 other terms	1	$72	$72	—	—	—	$72 – $72
16	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$32	$32	—	—	—	$32 – $32
17	Caresource fee schedule · both · +2 other terms	1	$64	$64	—	—	—	$64 – $64
18	Devoted percent of total billed charges · bothfrom % of charges	1	$70	$70	—	—	—	$70 – $70
19	Excellus facility · fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
20	Healthpartners facility · fee schedule · outpatient	1	$140	$140	—	—	—	$140 – $140
21	Medcost facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	1	$18	$18	—	—	—	$18 – $18
22	Medicaid fee schedule · both · +1 other terms	1	$64	$64	—	—	—	$64 – $64
23	Medical Mutual fee schedule · inpatient · +2 other terms	1	$57	$57	$42	73%	—	$15 – $101
24	Medicare fee schedule · both · +2 other terms	1	$64	$64	—	—	—	$64 – $64
25	Optum percent of total billed charges · bothfrom % of charges	1	$53	$53	—	—	—	$53 – $53

Page 1 of 2 · 31 payers