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See a sample rate comparisonCPT 90291 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office |
| Common Modifiers | GT - Via interactive audio and video telecommunication systems 95 - Telemedicine - audio and video |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 90291 |
| Medicaid Fee Schedule | $38.00 median of the 7 states in the free preview · View Medicaid rates for 90291 |
National average reimbursement for CPT 90291 by major payers:
$1,570.33
$2,006.21
$1,853.65
$1,949.52
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CPT 90291
5 of 25 sample ratesHigher to lower in this preview
Obiora Onwuameze
Siu Physicians & Surgeons Inc
$3,438.15Published rateClint Anthony
District Medical Group Inc
$2,044.80Published rateLaron Phillips
Brightside Medical
$1,990.52Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$1,809.56Published rateDa Pediatric Rehabilitation
$40.00Published rate
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See a sample payer proposalCPT 90291 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90291 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 90291 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 |
|---|---|---|
| 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. |
| 90288-CPT | High | Botulism Immune Globulin Human Intraveno Use, Botulism Immune Globulin Human For Intravenous Use |
| 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 90291. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90291 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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