Hepatitis B vaccine, three-antigen formula, 3-dose series

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

Hep b vac 3ag 10mcg 3 dos im

Payers reporting CPT 90759

Payer pricing summary

Low

$36

Average

$133

Median

$82

High

$895

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	505	$122	$118	$60	50%	—	$16 – $461
2	Cigna fee schedule · outpatient · +18 other terms	255	$112	$207	$215	104%	—	$66 – $2.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	209	$173	$306	$210	69%	—	$1 – $914
4	Humana fee schedule · outpatient · +14 other terms	179	$72	$85	$44	52%	—	$36 – $280
5	Aetna fee schedule · outpatient · +17 other terms	132	$76	$316	$1.0k	330%	—	$10 – $8.4k
6	Anthem fee schedule · outpatient · +13 other terms	103	$84	$100	$58	58%	—	$34 – $498
7	Caresource fee schedule · outpatient · +7 other terms	57	$82	$86	$22	26%	—	$68 – $125
8	Molina facility · case rate · outpatient · +9 other terms	42	$22	$42	$41	98%	—	$6 – $151
9	Bcbs Tx fee schedule · outpatient	30	$575	$523	$174	33%	—	$214 – $904
10	Kaiser fee schedule · outpatient · +5 other terms	27	$74	$80	$23	29%	—	$72 – $170
11	WellCare fee schedule · outpatient · +10 other terms	27	$74	$75	$2	3%	—	$74 – $83
12	Aetna Better Health fee schedule · outpatient · +4 other terms	22	$76	$78	$4	6%	—	$74 – $87
13	Devoted fee schedule · outpatient · +3 other terms	21	$74	$73	$1	1%	—	$72 – $77
14	Regence professional · fee schedule · outpatient · +6 other terms	21	$74	$74	—	—	—	$74 – $74
15	Healthpartners fee schedule · outpatient · +1 other terms	18	$88	$88	$2	2%	—	$86 – $90
16	Medicare fee schedule · outpatient · +3 other terms	18	$72	$72	—	—	—	$72 – $72
17	Medical Mutual facility · fee schedule · outpatient · +4 other terms	16	$148	$516	$2.5k	479%	—	$74 – $17.6k
18	Wellmark fee schedule · outpatient · +6 other terms	15	$74	$74	—	—	—	$74 – $74
19	Ambetter fee schedule · outpatient · +9 other terms	14	$137	$140	$32	23%	—	$66 – $199
20	Optum facility · case rate · outpatient · +4 other terms	14	$9	$19	$22	114%	—	$8 – $75
21	Cigna Healthspring fee schedule · outpatient · +3 other terms	12	$78	$78	—	—	—	$78 – $78
22	Bcbs Nj fee schedule · outpatient	11	$77	$77	—	—	—	$77 – $77
23	Oscar facility · fee schedule · outpatient · +10 other terms	11	$92	$87	$8	9%	—	$74 – $92
24	Highmark fee schedule · outpatient · +8 other terms	10	$85	$86	$21	24%	—	$14 – $92
25	Medica fee schedule · outpatient · +5 other terms	10	$150	$151	$38	25%	—	$91 – $193

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