COVID-19 vaccine booster administration

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

Pfizer vaccine admin booster

Payers reporting HCPCS D1709

Payer pricing summary

Low

Average

$50

Median

$37

High

$144

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$26	$25	$10	39%	—	$11 – $57
2	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	23	$145	$139	$42	30%	—	$39 – $320
3	Aetna fee schedule · outpatient · +4 other terms	21	$42	$68	$49	73%	—	$40 – $257
4	UnitedHealthcare facility · case rate · outpatient · +5 other terms	18	$17	$20	$6	31%	—	$11 – $31
5	Anthem facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Optum facility · case rate · outpatient	13	$15	$18	$5	27%	—	$13 – $26
8	Cigna professional · fee schedule · outpatient	8	$43	$43	—	—	—	$43 – $43
9	Humana facility · case rate · outpatient · +2 other terms	8	$27	$28	$1	5%	—	$27 – $30
10	Aetna Better Health facility · case rate · outpatient	7	$33	$32	$1	3%	—	$29 – $33
11	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$30	$30	$1	3%	—	$30 – $33
12	Medica fee schedule · outpatient · +2 other terms	3	$77	$77	—	—	—	$77 – $77
13	Regence facility · fee schedule · outpatient	3	$160	$144	$25	18%	—	$109 – $165
14	Wellmark facility · case rate · outpatient	3	$96	$84	$27	32%	—	$39 – $106
15	Medicaid facility · case rate · outpatient	2	$27	$27	—	—	—	$27 – $27
16	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
17	Bcbs Mn fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
18	Bcbs Vt professional · fee schedule · outpatient	1	$40	$40	—	—	—	$40 – $40
19	Highmark fee schedule · outpatient	1	$27	$27	$11	42%	—	$19 – $43
20	WellCare facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27