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
COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE
Low
$0
Average
$125
Median
$146
High
$207
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5 hospital rates
iThe hospitals that file a Bcbs La rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 2 | $146 | $146 | — | — | — | $146 – $146 |
| 2 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 4 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 5 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
← Payers reporting CPT 91322 · Snapshot 20261111T120946Z-9134e7f7