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See a sample rate comparisonCPT 90284 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 23 - Emergency Room |
| Common Modifiers | 25 - Significant, separately identifiable E/M service same day HO 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90284 |
| Medicaid Fee Schedule | $17.195 median of the 4 states in the free preview · View Medicaid rates for 90284 |
National average reimbursement for CPT 90284 by major payers:
$23.74
$17.53
$16.13
$22.66
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CPT 90284
5 of 25 sample ratesHigher to lower in this preview
Kimball Ladien
Tca Health Inc Nfp
$24.56Published rateAlan Felthous
St Louis University
$17.53Published rateOyoyo Sawyer
District Medical Group Inc
$16.51Published rateAliya Hafeez
Advocate Health And Hospitals Corporation
$16.28Published rateRita Yadava
Rita Yadava Mdsc
$14.39Published rate
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See a sample payer proposalCPT 90284 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90284 code is part of the Medicine Services and Procedures services used for Immune Globulins, Serum or Recombinant Products. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90284 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90281-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90283-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90284-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90291-CPT | High | Cmv Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection With The Cytomegalovirus (Cmv) Virus Which Can Cause Fever Swollen Glands And Fatigue (Feeling Extremely Tired). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90284. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90284 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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