Japanese encephalitis vaccine 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

JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE (IXIARO)

Payers reporting CPT 90738

Payer pricing summary

Low

$46

Average

$507

Median

$428

High

$1.7k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	387	$504	$536	$248	46%	—	$77 – $1.9k
2	Cigna fee schedule · outpatient · +17 other terms	207	$522	$894	$678	76%	—	$5 – $2.8k
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	167	$607	$743	$400	54%	—	$0 – $1.9k
4	Aetna fee schedule · outpatient · +21 other terms	93	$346	$779	$1.0k	133%	—	$10 – $8.4k
5	Humana fee schedule · outpatient · +18 other terms	87	$815	$1.4k	$1.3k	94%	—	$52 – $8.3k
6	Anthem fee schedule · outpatient · +19 other terms	62	$325	$397	$197	49%	—	$166 – $1.4k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1.1k	$978	$326	33%	—	$400 – $1.7k
8	Molina facility · case rate · outpatient · +18 other terms	29	$26	$73	$52	71%	—	$11 – $175
9	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	20	$1.2k	$1.7k	$3.6k	208%	—	$0 – $33.5k
10	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	19	$465	$837	$566	68%	—	$231 – $2.1k
11	Tricare facility · fee schedule · outpatient · +6 other terms	18	$701	$2.0k	$6.3k	309%	—	$0 – $37.5k
12	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	17	$12	$12	$1	10%	—	$10 – $16
13	Highmark facility · fee schedule · outpatient · +10 other terms	17	$12	$159	$174	110%	—	$11 – $480
14	Ucare facility · percent of total billed charges · bothfrom % of charges · +4 other terms	16	$194	$211	$122	58%	—	$92 – $430
15	Caresource facility · case rate · outpatient · +6 other terms	15	$16	$17	$4	23%	—	$10 – $26
16	Wellmark fee schedule · outpatient · +9 other terms	15	$295	$295	—	—	—	$295 – $295
17	Optum facility · case rate · outpatient · +13 other terms	13	$15	$26	$23	90%	—	$13 – $79
18	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$594	$531	$216	41%	—	$293 – $743
19	Bcbs Nj fee schedule · outpatient · +5 other terms	12	$286	$286	—	—	—	$286 – $286
20	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	12	$649	$652	$19	3%	—	$628 – $693
21	Medica fee schedule · outpatient · +12 other terms	12	$553	$559	$153	27%	—	$164 – $732
22	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$331	$330	$16	5%	—	$295 – $342
23	Devoted facility · fee schedule · outpatient · +5 other terms	8	$1.2k	$2.8k	$5.4k	191%	—	$784 – $20k
24	WellCare other · outpatient · +9 other terms	8	$83	$72	$26	36%	—	$9 – $83
25	Aetna Better Health fee schedule · inpatient · +8 other terms	7	$302	$302	—	—	—	$302 – $302

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