CPT 90721
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.
Original text from hospital filings
DTAP/HIB VACCINE IM UNSCHEDULED
Low
$45
Average
$1.9k
Median
$70
High
$17.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 52.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 24 | $159 | $183 | $108 | 59% | — | $56 – $341 |
| 2 | Anthem fee schedule · outpatient · +2 other terms | 18 | $53 | $54 | $13 | 25% | — | $53 – $212 |
| 3 | First Health fee schedule · both | 5 | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Aetna fee schedule · outpatient · +3 other terms | 4 | $237 | $237 | $67 | 28% | — | $170 – $303 |
| 5 | Highmark facility · fee schedule · outpatient | 3 | $51 | $52 | $2 | 4% | — | $51 – $57 |
| 6 | Aetna Better Health fee schedule · inpatient | 2 | $186 | $186 | — | — | — | $186 – $186 |
| 7 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $69 | $69 | $15 | 22% | — | $53 – $84 |
| 8 | Humana fee schedule · outpatient · +1 other terms | 2 | $6.1k | $6.3k | $1.5k | 23% | — | $5.0k – $8.3k |
| 9 | Kaiser fee schedule · both | 2 | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Molina fee schedule · outpatient · +1 other terms | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Hospitals reporting CPT 90721 · Snapshot 20261113T090226Z-3ce6c0b8