{"procedure":{"code_type":"CPT","code":"0013A","lay_name":"Giving the third dose of the Moderna COVID-19 vaccine","blurb":"Covers the work of giving one injection: the third dose of the Moderna COVID-19 vaccine (100 mcg per 0.5 mL). The vaccine product itself is billed separately.","slug":"cpt-0013a-giving-the-third-dose-of-the-moderna-covid-19-vaccine","description":"All Outpatient","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":null},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-11-19","filing_date_max":"2026-09-22","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":252,"n_usable":237,"n_not_usable":0,"n_labelled":1,"n_no_cash":14,"n_estimated":0,"n_states":39,"cash_p10":17.15,"cash_p20":24.22,"cash_p25":32.34,"cash_p50":48.0,"cash_p75":64.2,"cash_p80":74.88,"cash_p90":95.65,"cash_mean_trimmed":46.67,"gross_p50":80.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":13,"p20":52.88,"p50":52.99,"p80":76.93},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":17,"p20":17.15,"p50":64.2,"p80":119.0},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":8,"p20":null,"p50":null,"p80":null},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":13,"p20":20.01,"p50":21.75,"p80":36.96},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":6,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":15,"p20":32.34,"p50":38.5,"p80":62.16},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":42.0,"p50":58.5,"p80":141.0},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":38,"p20":48.0,"p50":48.0,"p80":48.0},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":168,"p20":24.0,"p50":48.0,"p80":71.5},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":64,"p20":28.0,"p50":40.0,"p80":80.0}],"ownership":[{"key":"for_profit","n":26,"p20":17.15,"p50":39.2,"p80":48.0},{"key":"government","n":37,"p20":22.0,"p50":45.0,"p80":81.2},{"key":"nonprofit","n":174,"p20":28.0,"p50":48.0,"p80":74.88}],"affiliation":[{"key":"affiliated","n":200,"p20":22.0,"p50":47.58,"p80":71.5},{"key":"independent","n":37,"p20":37.6,"p50":52.2,"p80":80.5}]},"histogram":[{"lo":15.2,"hi":18.81,"n":20},{"lo":18.81,"hi":23.28,"n":13},{"lo":23.28,"hi":28.8,"n":9},{"lo":28.8,"hi":35.64,"n":22},{"lo":35.64,"hi":44.11,"n":30},{"lo":44.11,"hi":54.58,"n":58},{"lo":54.58,"hi":67.55,"n":18},{"lo":67.55,"hi":83.59,"n":25},{"lo":83.59,"hi":103.44,"n":12},{"lo":103.44,"hi":128.0,"n":8}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-01-22","filing_date_max":"2026-09-22","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":196,"n_usable":181,"n_not_usable":0,"n_labelled":0,"n_no_cash":15,"n_estimated":0,"n_states":32,"cash_p10":17.15,"cash_p20":25.0,"cash_p25":32.34,"cash_p50":48.0,"cash_p75":63.75,"cash_p80":73.5,"cash_p90":95.65,"cash_mean_trimmed":45.63,"gross_p50":80.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":12,"p20":52.88,"p50":52.99,"p80":53.16},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":16,"p20":17.15,"p50":64.2,"p80":119.0},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":11,"p20":20.01,"p50":21.75,"p80":36.96},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":12,"p20":32.34,"p50":38.4,"p80":62.16},{"state":"NY","n":12,"p20":42.0,"p50":47.26,"p80":128.0},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":33,"p20":48.0,"p50":48.0,"p80":48.0},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":135,"p20":24.0,"p50":48.0,"p80":65.1},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":43,"p20":29.7,"p50":38.4,"p80":80.5}],"ownership":[{"key":"for_profit","n":25,"p20":17.15,"p50":40.89,"p80":48.0},{"key":"government","n":20,"p20":15.6,"p50":71.5,"p80":99.0},{"key":"nonprofit","n":136,"p20":28.0,"p50":48.0,"p80":72.75}],"affiliation":[{"key":"affiliated","n":153,"p20":24.99,"p50":48.0,"p80":69.73},{"key":"independent","n":28,"p20":37.6,"p50":57.96,"p80":89.4}]},"histogram":[{"lo":16.53,"hi":20.17,"n":17},{"lo":20.17,"hi":24.61,"n":6},{"lo":24.61,"hi":30.03,"n":11},{"lo":30.03,"hi":36.65,"n":17},{"lo":36.65,"hi":44.72,"n":20},{"lo":44.72,"hi":54.57,"n":48},{"lo":54.57,"hi":66.59,"n":11},{"lo":66.59,"hi":81.26,"n":18},{"lo":81.26,"hi":99.16,"n":10},{"lo":99.16,"hi":121.0,"n":5}],"previous":null}},"related":[]}