Meningococcal B vaccine (MenB-FHbp) injection at Hsa Cgh Llc

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

MENINGOCOCAL GROUP B VAC 0.5ML

Coral Gables, FL

See all payers reporting CPT 90621 →

Payers reporting CPT 90621 at Hsa Cgh Llc

Negotiated rates from the hospital’s own file: 10 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
2	Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
3	Humana humana medical plan / fl medicaid facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
4	UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
5	Molina molina managed medicaid facility · other · outpatient	$95	$95	—	—	—	$95 – $95
6	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	$111	100%	—	$0 – $223
7	Cigna cigna individual family facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
8	Cigna cigna surefit facility · fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
9	Cigna cigna commercial facility · fee schedule · outpatient	$320	$320	—	—	—	$320 – $320
10	Cigna cigna localplus benefit facility · fee schedule · outpatient	$320	$320	—	—	—	$320 – $320
11	Devoted devoted health facility · fee schedule · outpatient	$405	$405	—	—	—	$405 – $405
12	Molina molina marketplace program exchange facility · fee schedule · outpatient	$405	$405	—	—	—	$405 – $405
13	Molina molina medicare advantage program facility · fee schedule · outpatient	$405	$405	—	—	—	$405 – $405
14	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$419	$419	$419	100%	—	$0 – $838
15	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$419	$419	$419	100%	—	$0 – $838
16	Humana humana commercial hmo facility · other · outpatient	$473	$473	—	—	—	$473 – $473
17	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$480	$480	$480	100%	—	$0 – $959
18	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	$480	100%	—	$0 – $959
19	Humana humana commercial ppo facility · other · outpatient	$493	$493	—	—	—	$493 – $493
20	Aetna aetna national advantage program (nap) facility · percent of total billed charges · inpatientfrom % of charges	$507	$507	$507	100%	—	$0 – $1.0k
21	Aetna aetna national advantage program (nap) facility · percent of total billed charges · outpatientfrom % of charges	$507	$507	$507	100%	—	$0 – $1.0k