Hepatitis B vaccine for adolescents, two-dose

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

professional

Payers reporting CPT 90743

Payer pricing summary

Low

$39

Average

$128

Median

$91

High

$483

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	561	$124	$117	$59	50%	—	$1 – $470
2	Cigna fee schedule · outpatient · +22 other terms	281	$116	$211	$151	71%	—	$57 – $659
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	242	$121	$161	$95	59%	—	$0 – $488
4	Humana fee schedule · outpatient · +20 other terms	233	$74	$162	$624	384%	—	$1 – $8.3k
5	Aetna fee schedule · outpatient · +24 other terms	176	$78	$255	$881	345%	—	$1 – $8.4k
6	Anthem fee schedule · outpatient · +17 other terms	106	$85	$107	$63	59%	—	$34 – $507
7	Molina fee schedule · outpatient · +22 other terms	46	$107	$110	$55	50%	—	$1 – $183
8	Caresource fee schedule · outpatient · +11 other terms	45	$90	$98	$27	28%	—	$1 – $128
9	Tricare facility · fee schedule · outpatient · +11 other terms	44	$71	$65	$19	29%	—	$0 – $75
10	WellCare facility · fee schedule · outpatient · +16 other terms	44	$73	$53	$28	52%	—	$2 – $102
11	Devoted facility · fee schedule · outpatient · +15 other terms	33	$75	$109	$261	240%	—	$25 – $2.2k
12	Ambetter facility · fee schedule · outpatient · +15 other terms	29	$135	$161	$483	300%	—	$2 – $3.3k
13	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$257	$235	$76	32%	—	$95 – $400
14	Kaiser fee schedule · outpatient · +13 other terms	29	$75	$86	$34	39%	—	$74 – $188
15	Regence professional · fee schedule · outpatient · +9 other terms	26	$74	$83	$10	12%	—	$74 – $95
16	Aetna Better Health fee schedule · outpatient · +10 other terms	22	$77	$80	$6	8%	—	$75 – $93
17	Carefirst facility · fee schedule · both · +3 other terms	20	$75	$86	$41	48%	—	$39 – $234
18	Excellus facility · fee schedule · both · +6 other terms	20	$75	$83	$37	44%	—	$39 – $234
19	Highmark facility · fee schedule · both · +9 other terms	20	$75	$86	$41	48%	—	$39 – $234
20	Premera facility · fee schedule · both · +2 other terms	20	$75	$86	$42	48%	—	$39 – $234
21	Wellmark facility · fee schedule · both · +5 other terms	20	$75	$83	$36	43%	—	$39 – $234
22	Optum fee schedule · outpatient · +13 other terms	19	$74	$87	$43	50%	—	$74 – $282
23	Healthpartners fee schedule · outpatient · +3 other terms	18	$90	$90	$2	2%	—	$88 – $92
24	Medical Mutual facility · fee schedule · outpatient · +8 other terms	18	$170	$497	$2.4k	479%	—	$75 – $17.6k
25	Medicare fee schedule · outpatient · +10 other terms	18	$74	$74	—	—	—	$74 – $74

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