CPT 91313
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
(Ia) HC Moderna Covid-19 Vaccine Bivalent Booster
Low
$0
Average
$166
Median
$6
High
$4.2k
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 34 | $0 | $0 | $0 | 175% | — | $0 – $0 |
| 2 | Molina facility · case rate · outpatient · +3 other terms | 27 | $15 | $16 | $7 | 45% | — | $6 – $36 |
| 3 | Anthem fee schedule · outpatient · +7 other terms | 22 | $0 | $1 | $6 | 584% | — | $0 – $35 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 18 | $10 | $14 | $10 | 72% | — | $6 – $52 |
| 5 | Caresource facility · case rate · outpatient | 15 | $9 | $10 | $2 | 23% | — | $6 – $16 |
| 6 | Humana fee schedule · outpatient · +3 other terms | 14 | $0 | $8 | $15 | 187% | — | $0 – $36 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 8 | Medica fee schedule · inpatient · +3 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | MultiPlan fee schedule · inpatient · +7 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $23 | $22 | $1 | 4% | — | $19 – $23 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $21 | $21 | $1 | 3% | — | $21 – $23 |
| 12 | Aetna fee schedule · outpatient · +9 other terms | 6 | $34 | $23 | $16 | 71% | — | $0 – $35 |
| 13 | Cigna facility · fee schedule · outpatient · +7 other terms | 4 | $0 | $0 | $0 | 100% | — | $0 – $0 |
| 14 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Wellmark facility · case rate · outpatient · +1 other terms | 3 | $61 | $54 | $17 | 32% | — | $25 – $68 |
| 16 | Medicaid facility · case rate · outpatient · +1 other terms | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Sanford Health Plan fee schedule · inpatient · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Ca facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Beechstreet percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | First Health facility · other · outpatient · +3 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Healthpartners facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting CPT 91313 · Snapshot 20261113T090226Z-3ce6c0b8