COVID-19 mRNA vaccine, 50 mcg 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

COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE

Payers reporting CPT 91322

Payer pricing summary

Low

Average

$227

Median

$204

High

$906

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +12 other terms	14	$159	$159	$1	0%	825–861	$159 – $162
2	UnitedHealthcare fee schedule · outpatient · +30 other terms	577	$236	$250	$145	58%	668–677	$0 – $1.8k
3	Wellmark fee schedule · outpatient · +16 other terms	28	$162	$162	$0	0%	514–532	$162 – $163
4	Kaiser fee schedule · outpatient · +18 other terms	34	$162	$215	$147	68%	353	$158 – $986
5	Humana fee schedule · outpatient · +23 other terms	201	$157	$177	$89	50%	234	$0 – $553
6	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$112	$112	$44	40%	16–25	$68 – $156
7	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	213	$263	$382	$234	61%	15	$0 – $1.1k
8	Optum professional · fee schedule · outpatient · +15 other terms	19	$159	$158	$4	3%	3–30	$146 – $165
9	Aetna fee schedule · outpatient · +25 other terms	160	$162	$385	$954	248%	1–10	$0 – $8.4k
10	Cigna fee schedule · outpatient · +22 other terms	283	$238	$405	$318	79%	—	$0 – $1.4k
11	Anthem fee schedule · outpatient · +24 other terms	113	$162	$189	$147	78%	—	$16 – $1.8k
12	Molina fee schedule · outpatient · +22 other terms	68	$160	$192	$130	68%	—	$1 – $394
13	Caresource fee schedule · outpatient · +14 other terms	56	$165	$179	$62	35%	—	$1 – $275
14	Medica fee schedule · outpatient · +15 other terms	43	$55	$161	$127	79%	—	$31 – $382
15	WellCare fee schedule · outpatient · +17 other terms	33	$162	$161	$16	10%	—	$72 – $171
16	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	32	$62	$78	$64	81%	—	$23 – $307
17	Highmark facility · fee schedule · outpatient · +13 other terms	32	$228	$734	$613	84%	—	$42 – $2.6k
18	Medicare facility · fee schedule · outpatient · +11 other terms	27	$105	$173	$322	186%	—	$4 – $2.2k
19	Aetna Better Health fee schedule · outpatient · +12 other terms	23	$162	$163	$11	7%	—	$150 – $181
20	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	22	$153	$311	$259	83%	—	$63 – $953
21	Devoted fee schedule · outpatient · +12 other terms	21	$162	$161	$2	1%	—	$158 – $168
22	Ambetter fee schedule · outpatient · +15 other terms	20	$267	$271	$76	28%	—	$68 – $394
23	Healthpartners fee schedule · outpatient · +13 other terms	19	$193	$193	$4	2%	—	$185 – $197
24	Bcbs Tx fee schedule · outpatient · +1 other terms	18	$470	$483	$150	31%	—	$250 – $775
25	Tricare facility · fee schedule · outpatient · +15 other terms	18	$162	$148	$43	29%	—	$25 – $280

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